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Individual

JUSTIN CIRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
550 SW 6TH ST STE J, GRANTS PASS, OR 97526-2860
(541) 324-4312
Mailing address
1427 4TH AVE, GOLD HILL, OR 97525-9737
(541) 324-4312

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27791
OR

Other

Enumeration date
08/03/2023
Last updated
08/03/2023
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