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Individual

LORIE A DOWNOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
12886 GREY ST, LOGAN, OH 43138-9638
(740) 385-4141
Mailing address
12886 GREY ST, LOGAN, OH 43138-9638
(740) 385-4141

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.010973-C-D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33.010973CD
LICENSE NUMBER
OH
Enumeration date
12/02/2014
Last updated
12/02/2014
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