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Individual

KIM SUZANNE DONAHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
941 E 22ND AVE, EUGENE, OR 97405-3015
(541) 954-8484
Mailing address
941 E 22ND AVE, EUGENE, OR 97405-3015
(541) 954-8484

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11385
HI
225700000X
Massage Therapist
Primary
7408
OR

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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