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1104199306
NICHOLE M SANDAHL
BEAVERTON, OR
NPI
1104199306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16839)
Enumeration Date
2012-02-17
Last Update Date
2012-02-17
Business Address
Ms. NICHOLE M SANDAHL LMT
1360 SW 176TH TER
BEAVERTON, OR 97006-7562
Phone number: 503-933-2112
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Mailing Address
Ms. NICHOLE M SANDAHL LMT
1360 SW 176TH TER
BEAVERTON, OR 97006-7562
Phone number: 503-933-2112
Copy
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