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1104548320
KELLY ANN BAUMANN
PORTLAND, OR
NPI
1104548320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26972)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
Ms. KELLY ANN BAUMANN LMT
3806 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 917-679-4884
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Mailing Address
Ms. KELLY ANN BAUMANN LMT
1005 SE 16TH AVE APT 2
PORTLAND, OR 97214-2665
Phone number: 917-679-4884
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