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Individual

ERIC D HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1600 SKY PARK DR STE 209, MEDFORD, OR 97504-5889
(541) 621-4338
Mailing address
1054 DIANA CT, MEDFORD, OR 97501-8122
(154) 162-1433

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11390
OR

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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