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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1972830149 |
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| LBN Legal business name | SISKIYOU MASSAGE, LLC | ||||
| Authorized official | PHILIP WHITMORE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/10/2009 | ||||
| Last updated | 01/19/2018 - About 8 years ago | ||||
| Identifiers |
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SISKIYOU MASSAGE, LLC