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Individual

MRS. EOWYN LEVENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
293 VINEYARD AVE, HIGHLAND, NY 12528-2344
(646) 400-9594
Mailing address
293 VINEYARD AVE, HIGHLAND, NY 12528-2344
(646) 400-9594

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026212
NY

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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