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Individual

MRS. GINA TATARYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
300 GLEN CREEK RD NW, SALEM, OR 97304-3058
(503) 990-8627
Mailing address
1875 GOLF COURSE RD S, SALEM, OR 97302-9622
(503) 400-6110

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19474
OR

Other

Enumeration date
11/07/2012
Last updated
11/16/2015
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