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Individual

CALEB LEE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2221 GRUBE ST, SPRINGFIELD, OH 45503-2642
(937) 244-3756
Mailing address
1348 MCGILLIVRAY AVE, SPRINGFIELD, OH 45503-5647
(937) 244-3756

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024486
OH

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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