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1023518115
JACKIE ANKERSON
ASTORIA, OR
NPI
1023518115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22488)
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
JACKIE ANKERSON
1490 COMMERCIAL ST STE 202
ASTORIA, OR 97103-3800
Phone number: 503-806-5174
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Mailing Address
JACKIE ANKERSON
1490 COMMERCIAL ST STE 202
ASTORIA, OR 97103-3800
Phone number: 503-806-5174
Copy
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