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1023221728
GARY LEROY WASS
PORTLAND, OR
NPI
1023221728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00016138)
Enumeration Date
2007-05-08
Last Update Date
2014-12-08
Business Address
-- GARY LEROY WASS LMT
2929 SW MULTNOMAH BLVD STE 207
PORTLAND, OR 97219-4072
Phone number: 509-240-6989
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Mailing Address
-- GARY LEROY WASS LMT
2929 SW MULTNOMAH BLVD STE 207
PORTLAND, OR 97219-4072
Phone number: 509-240-6989
Copy
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