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1003239104
JACKSON LEE ANDREWS
POWELL BUTTE, OR
NPI
1003239104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20031)
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
Mr. JACKSON LEE ANDREWS LMT
7380 SW REIF RD
POWELL BUTTE, OR 97753-1513
Phone number: 541-213-0491
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Mailing Address
Mr. JACKSON LEE ANDREWS LMT
7380 SW REIF RD
POWELL BUTTE, OR 97753-1513
Phone number: 541-213-0491
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