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1124306352
KELLY FORESTER
PORTLAND, OR
NPI
1124306352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10273)
Enumeration Date
2011-07-21
Last Update Date
2014-06-11
Business Address
Ms. KELLY FORESTER LMT
6018 SE STARK ST STE. 103
PORTLAND, OR 97215-1990
Phone number: 503-754-2696
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Mailing Address
Ms. KELLY FORESTER LMT
6018 SE STARK ST STE. 103
PORTLAND, OR 97215-1990
Phone number: 503-754-2696
Copy
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