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Individual

MRS. CORRINA SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CHN

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
OR
174400000X
Specialist
19060
OR
225700000X
Massage Therapist
Primary
19060
OR

Other

Enumeration date
09/08/2013
Last updated
09/08/2013
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