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Individual

MARGOT SUZZANNE MANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5353 COLUMBUS ST SE, ALBANY, OR 97322
(541) 905-3519
Mailing address
205 JEFFERSON ST SE, ALBANY, OR 97321

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17607
OR

Other

Enumeration date
01/29/2018
Last updated
01/29/2018
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