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1003319831
ELLEN LAURA KIMBERLEY
PORTLAND, OR
NPI
1003319831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24145)
Enumeration Date
2018-03-18
Last Update Date
2018-03-18
Business Address
ELLEN LAURA KIMBERLEY LMT
7016 SE BOISE ST
PORTLAND, OR 97206-3453
Phone number: 503-849-4037
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Mailing Address
ELLEN LAURA KIMBERLEY LMT
7016 SE BOISE ST
PORTLAND, OR 97206-3453
Phone number: 503-849-4037
Copy
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