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Individual

MOLLY KATE ROUTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1012 TREVITT ST, THE DALLES, OR 97058-1463
(541) 296-6495
(541) 296-6497
Mailing address
1012 TREVITT ST, THE DALLES, OR 97058-1463
(541) 296-6495
(541) 296-6497

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18414
OR

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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