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1114231891
DESIREE FREDENBURG
PORTLAND, OR
NPI
1114231891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16509)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
Ms. DESIREE FREDENBURG LMT
2627 NE BROADWAY ST
PORTLAND, OR 97232-1720
Phone number: 503-281-0278
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Mailing Address
Ms. DESIREE FREDENBURG LMT
1515 SE 52ND AVE
PORTLAND, OR 97215-3315
Phone number: 503-914-8500
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