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1013152032
JONATHAN CLARK GROSSART
PORTLAND, OR
NPI
1013152032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13752)
Enumeration Date
2008-12-04
Last Update Date
2017-11-01
Business Address
MR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER
1727 NE 13TH AVE STE 101
PORTLAND, OR 97212-4378
Phone number: 503-933-8066
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Mailing Address
MR. JONATHAN CLARK GROSSART LMT, CERT ADV ROLFER
1727 NE 13TH AVE STE 101
PORTLAND, OR 97212-4378
Phone number: 503-933-8066
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