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Individual

MISS MEAGHAN REBECCA BULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
125 NW GEORGIA AVE, BEND, OR 97703-2821
(541) 517-1603
Mailing address
125 NW GEORGIA AVE, BEND, OR 97703-2821
(541) 517-1603

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16469
OR

Other

Enumeration date
09/12/2017
Last updated
07/21/2022
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