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1063735918
THERESA JEAN FORD
PORTLAND, OR
NPI
1063735918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7454)
Enumeration Date
2010-03-07
Last Update Date
2010-03-07
Business Address
Ms. THERESA JEAN FORD L.M.T.
521 SW 11TH AVE SUITE 305
PORTLAND, OR 97205-2634
Phone number: 503-810-3091
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Mailing Address
Ms. THERESA JEAN FORD L.M.T.
521 SW 11TH AVE SUITE 305
PORTLAND, OR 97205-2634
Phone number: 503-810-3091
Copy
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