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Individual

KIJRSTIN MINARSICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
564 SW 3RD ST, CORVALLIS, OR 97333-4439
(541) 248-7582
Mailing address
3399 SE CHARLOTTE PL, CORVALLIS, OR 97333-9281

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19179
OR

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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