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Individual

MS. HALEY LAUDERBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, CA

Contact information

Practice address
244 NE FRANKLIN AVE, SUITE 5, BEND, OR 97701-4959
(541) 323-3488
Mailing address
244 NE FRANKLIN AVE, SUITE 5, BEND, OR 97701-4959
(541) 323-3488

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20255
OR

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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