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Individual

TERESA LYNN LAWVOR MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, HHP, MMP

Contact information

Practice address
508 WEST TOBUK ALLEY, NOME, AK 99762-1087
(907) 443-2633
(907) 387-0455
Mailing address
508 WEST TOBUK ALLEY, P.O. BOX 1087, NOME, AK 99762-1087
(907) 443-2633
(907) 387-0455

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101223
AK

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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