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Individual

LORA LEE POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7802 LINDA LN, LA PALMA, CA 90623-1601
(310) 912-1178
Mailing address
7802 LINDA LN, LA PALMA, CA 90623-1601
(310) 912-1178

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81379
CA

Other

Enumeration date
09/09/2022
Last updated
09/09/2022
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