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1124866843
COREY BLUE
PORTLAND, OR
NPI
1124866843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 28443)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
COREY BLUE
2442 SE 101ST AVE STE 308
PORTLAND, OR 97216-3065
Phone number: 971-678-6663
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Mailing Address
COREY BLUE
5130 SE 72ND AVE
PORTLAND, OR 97206-4400
Phone number: 971-678-6663
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