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Individual

JENA BOTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
985 NW 23RD ST, CORVALLIS, OR 97330-4309
(541) 207-4931
Mailing address
1605 NW FORESTGREEN AVE APT 11, CORVALLIS, OR 97330-1392
(541) 207-4931

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19645
OR

Other

Enumeration date
06/02/2016
Last updated
06/02/2016
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