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1083903363
DAMON E IACOVELLI
PORTLAND, OR
NPI
1083903363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17153)
Enumeration Date
2011-04-07
Last Update Date
2011-04-07
Business Address
Mr. DAMON E IACOVELLI LMT
270 NE 181ST AVE
PORTLAND, OR 97230-6663
Phone number: 503-669-1966
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Mailing Address
Mr. DAMON E IACOVELLI LMT
4309 SE TIBBETTS ST
PORTLAND, OR 97206-3124
Phone number: 503-380-1021
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