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1083841613
GEORGE MIYAKE
PORTLAND, OR
NPI
1083841613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15016)
Enumeration Date
2009-06-22
Last Update Date
2009-06-22
Business Address
Mr. GEORGE MIYAKE L.M.T.
2456 NW NORTHRUP ST SUITE 1-A
PORTLAND, OR 97210-3253
Phone number: 503-223-6414
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Mailing Address
Mr. GEORGE MIYAKE L.M.T.
2456 NW NORTHRUP ST SUITE 1-A
PORTLAND, OR 97210-3253
Phone number: 503-223-6414
Copy
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