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Individual

GEORGIA MCNULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
18966 RIVER WOODS DR, BEND, OR 97702-7906
(541) 706-1878
Mailing address
18966 RIVER WOODS DR, BEND, OR 97702-7906
(541) 706-1878

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8681
OR

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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