JACOB DANIEL BRUNS

PORTLAND, OR
NPI1114323722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  20831)
Enumeration Date2014-11-08
Last Update Date2015-10-07
Business Address
-- JACOB DANIEL BRUNS LMT
322 NW 5TH AVE STE 305
PORTLAND, OR 97209-3828
Phone number: 503-227-0206
Mailing Address
-- JACOB DANIEL BRUNS LMT
1130 NE 1ST AVE APT 102
PORTLAND, OR 97232-2061
Phone number: 503-502-2395
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