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Individual

MADISON JEAN ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
241 W MAIN ST, VAN WERT, OH 45891-1636
(419) 203-7702
Mailing address
215 S VINE ST, VAN WERT, OH 45891-2122
(419) 203-7702

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.017211
OH

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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