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1104416197
JESSICA LARSEN
CORVALLIS, OR
NPI
1104416197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23819)
Enumeration Date
2021-01-22
Last Update Date
2022-01-10
Business Address
JESSICA LARSEN LMT
2405 SE CRYSTAL LAKE DR
CORVALLIS, OR 97333-2014
Phone number: 917-679-7296
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Mailing Address
JESSICA LARSEN LMT
2405 SE CRYSTAL LAKE DR
CORVALLIS, OR 97333-2014
Phone number: 917-679-7296
Copy
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