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Individual

JEREMY DANIEL EFSEAFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
5300 RIVER RD N, KEIZER, OR 97303-4428
(503) 393-3624
(503) 393-0108
Mailing address
1250 RIDGEPOINT ST NE, KEIZER, OR 97303-1778
(503) 930-0706

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17482
OR

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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