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Individual

JUANELL LEMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
835 9TH ST SW, BANDON, OR 97411-9554
(541) 290-1948
Mailing address
835 9TH ST SW, BANDON, OR 97411-9554
(541) 290-1948

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
13439
OR
174400000X
Specialist
Primary
290
TN

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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