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Individual

HEIDI HOLCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
390 W 27TH PL, EUGENE, OR 97405-2749
(541) 505-1819
Mailing address
390 W 27TH PL, EUGENE, OR 97405-2749
(541) 505-1819

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
21606
OR
225700000X
Massage Therapist
Primary
21605
OR

Other

Enumeration date
09/21/2015
Last updated
10/24/2017
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