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Individual

LAURIE ANN VANCURLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
121 W 6TH AVE, JUNCTION CITY, OR 97448-1603
(541) 852-3129
Mailing address
94125 RIVER RD, JUNCTION CITY, OR 97448-9415
(541) 852-3129

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24701
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24701
LMT
OR
Enumeration date
01/20/2019
Last updated
01/20/2019
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