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1063889418
SHELLY STEPHENSON
PORTLAND, OR
NPI
1063889418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15516)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- SHELLY STEPHENSON lmt
975 SE SANDY BLVD SUITE #108
PORTLAND, OR 97214-1308
Phone number: 503-780-2621
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Mailing Address
-- SHELLY STEPHENSON lmt
975 SE SANDY BLVD SUITE #108
PORTLAND, OR 97214-1308
Phone number: 503-780-2621
Copy
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