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Individual

MISS LORA NICHOLE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
805 W PINE ST, POPLAR BLUFF, MO 63901-4956
(573) 785-2225
Mailing address
3221 OAKMOORE DR, POPLAR BLUFF, MO 63901-8975
(573) 870-0060

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008036236
MO

Other

Enumeration date
03/26/2010
Last updated
03/26/2010
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