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Individual

MR. DAVID CLARK CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
12587 S UNION HALL RD, CANBY, OR 97013-8743
(971) 212-1882
(503) 266-5549
Mailing address
12587 S UNION HALL RD, CANBY, OR 97013-8743
(971) 212-1882
(503) 266-5549

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12599
OR

Other

Enumeration date
01/16/2012
Last updated
01/16/2012
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