Individual
KIRSTEN CASSIDY DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 ALABAMA AVE SE, BANDON, OR 97411-9105
(541) 551-9099
Mailing address
46547 HIGHWAY 101, BANDON, OR 97411-8221
(541) 551-9099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-25699
OR
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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