Individual
NICOLE RENE JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
644 NE GREENWOOD AVE, #203, BEND, OR 97701-4569
(541) 383-4600
(541) 317-9018
Mailing address
644 NE GREENWOOD AVE, #203, BEND, OR 97701-4569
(541) 383-4600
(541) 317-9018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10384
OR
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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