JACK M WELLS

KEIZER, OR
NPI1023220860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  11767)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- JACK M WELLS LMT
4630 RIVER RD N
KEIZER, OR 97303-4648
Phone number: 503-999-8062
Mailing Address
-- JACK M WELLS LMT
4792 LANCASTER DR NE APT 102
SALEM, OR 97305-1747
Phone number: 503-999-8062
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