Individual
DORA DELAINE-WINTER FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
401 GALAXIE AVE, HARRISONVILLE, MO 64701-2078
(816) 884-3039
Mailing address
121 E REMINGTON TER, RAYMORE, MO 64083-8538
(816) 322-3055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007009415
MO
Other
Enumeration date
10/21/2008
Last updated
02/20/2013
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