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1083791768
JENNIFER KARINA MALM
CORVALLIS, OR
NPI
1083791768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12421)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- JENNIFER KARINA MALM LMT
3158 NW GREENBRIAR PL
CORVALLIS, OR 97330-3431
Phone number: 541-752-1683
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Mailing Address
-- JENNIFER KARINA MALM LMT
3158 NW GREENBRIAR PL
CORVALLIS, OR 97330-3431
Phone number: 541-752-1683
Copy
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