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1093234130
MALLORY L TAYLOR
TROUTDALE, OR
NPI
1093234130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22475)
Enumeration Date
2017-09-10
Last Update Date
2017-09-10
Business Address
MALLORY L TAYLOR LMT
330 SE 3RD ST
TROUTDALE, OR 97060-2080
Phone number: 425-275-2298
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Mailing Address
MALLORY L TAYLOR LMT
1544 N HIGHLAND ST
PORTLAND, OR 97217-4824
Phone number: 425-275-2298
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