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Individual

JOHN RONALD CAMPBELL MCCALLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
96 NW COLUMBIA AVE., STEVENSON, WA 98648
(509) 427-8203
(509) 427-4246
Mailing address
PO BOX 733, STEVENSON, WA 98648-0733
(503) 380-6195

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
11506
OR
173C00000X
Reflexologist
Primary
MA00015294
WA

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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