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1003172412
CHUNG SO
PORTLAND, OR
NPI
1003172412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR LMT#4132)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
-- CHUNG SO LMT(Oregon #4132)
1616 SE BYBEE BLVD
PORTLAND, OR 97202-5715
Phone number: 503-236-4654
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Mailing Address
-- CHUNG SO LMT(Oregon #4132)
6311 NW FIRWOOD DRIVE
VANCOUVER, WA 98665-8511
Phone number: 360-798-4255
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