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Individual

KATHERINE M SEGURA-WHITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
461 NE GREENWOOD AVE STE A, BEND, OR 97701
(541) 241-3135
(971) 256-8865
Mailing address
461 NE GREENWOOD AVE STE A, BEND, OR 97701-4607
(541) 241-3135
(971) 256-8865

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17879
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17879
STATE OF OREGON
OR
Enumeration date
01/13/2011
Last updated
10/15/2018
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