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1093055840
MICHAEL IAN GILL
PORTLAND, OR
NPI
1093055840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7888)
Enumeration Date
2013-02-14
Last Update Date
2013-02-14
Business Address
-- MICHAEL IAN GILL LAC
124 SW YAMHILL ST
PORTLAND, OR 97204-3019
Phone number: 971-279-3591
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Mailing Address
-- MICHAEL IAN GILL LAC
1020 SE 7TH AVE 15248
PORTLAND, OR 97293-0856
Phone number: 971-279-3591
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