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1053113894
BRENT BABAUTA
PORTLAND, OR
NPI
1053113894
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19062)
Enumeration Date
2025-03-25
Last Update Date
2025-03-25
Business Address
BRENT BABAUTA LMT
15280 NW CENTRAL DR STE 102
PORTLAND, OR 97229-7807
Phone number: 503-533-5614
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Mailing Address
BRENT BABAUTA LMT
20647 NW SEDONA LN
BEAVERTON, OR 97006-2037
Phone number:
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