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Organization

FUSION MASSAGE THERAPY AND BODYWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN HOLLAND LMT (LICENSED MASSAGE THERAPIST)
(503) 751-1448
Entity
Organization

Contact information

Practice address
289 E ELLENDALE AVE STE 601, DALLAS, OR 97338-1570
(503) 751-1448
Mailing address
289 E ELLENDALE AVE STE 601, DALLAS, OR 97338-1570
(503) 751-1448

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
19317
OR

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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