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Individual

LISA AVGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
10327
OR
225700000X
Massage Therapist
Primary
10327
OR

Other

Enumeration date
06/25/2008
Last updated
06/14/2018
Update your record

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