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1114215373
LAURIE SHEPARD-GLENN
PORTLAND, OR
NPI
1114215373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 6093)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
-- LAURIE SHEPARD-GLENN LMT
0110 SW BANCROFT ST
PORTLAND, OR 97239-4062
Phone number: 503-358-4383
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Mailing Address
-- LAURIE SHEPARD-GLENN LMT
0110 SW BANCROFT ST
PORTLAND, OR 97239-4062
Phone number: 503-358-4383
Copy
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