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1104098573
SARA HEATHER PETERSEN
PORTLAND, OR
NPI
1104098573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13837)
Enumeration Date
2008-03-26
Last Update Date
2013-02-05
Business Address
-- SARA HEATHER PETERSEN LMT
5432 N MARYLAND AVE
PORTLAND, OR 97217-4548
Phone number: 503-575-0686
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Mailing Address
-- SARA HEATHER PETERSEN LMT
5432 N MARYLAND AVE
PORTLAND, OR 97217-4548
Phone number: 503-575-0686
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