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Individual

CRYSTAL THRELKELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
224 SE MILLER AVE, BEND, OR 97702-1304
(541) 306-0988
Mailing address
224 SE MILLER AVE, BEND, OR 97702-1304
(541) 306-0988

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19326
OR

Other

Enumeration date
08/18/2016
Last updated
08/18/2016
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