Individual
DEBORAH STAUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2086 S MAIN ST, GROVE, OK 74344
(918) 948-2758
Mailing address
2086 S MAIN ST, GROVE, OK 74344
(918) 948-2758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
157084
OK
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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