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Individual

CHANCE FITZPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
223 5TH STREET, ASHLAND, OR 97520
(541) 525-3405
Mailing address
155 MONTEREY DR, MEDFORD, OR 97504
(541) 525-3405

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17734
OR

Other

Enumeration date
12/03/2014
Last updated
07/21/2022
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