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1083169148
KELLY AUSTIN MCCLUNG
PORTLAND, OR
NPI
1083169148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22293)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
Ms. KELLY AUSTIN MCCLUNG LmT
314 NE 19TH AVE
PORTLAND, OR 97232-2829
Phone number: 305-304-2319
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Mailing Address
Ms. KELLY AUSTIN MCCLUNG LmT
314 NE 19TH AVE
PORTLAND, OR 97232-2829
Phone number: 305-304-2319
Copy
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