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1063859528
DERUN REN
PORTLAND, OR
NPI
1063859528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15138)
Enumeration Date
2013-05-23
Last Update Date
2013-05-23
Business Address
Mr. DERUN REN LMT
10626 NE GLISAN ST
PORTLAND, OR 97220-4045
Phone number: 503-896-0660
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Mailing Address
Mr. DERUN REN LMT
10626 NE GLISAN ST
PORTLAND, OR 97220-4045
Phone number: 503-896-0660
Copy
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