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Individual

EUGENIA LEA KEEPERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4783 SW HIGHWAY 101, LINCOLN CITY, OR 97367-1564
(541) 994-1819
Mailing address
4502 SW COAST AVE, LINCOLN CITY, OR 97367-1527
(541) 921-7673

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10195
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10195
OREGON MASSAGE THERAPY LICENSE
OR
Enumeration date
08/11/2021
Last updated
08/11/2021
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