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1124898416
REBECCA ALICE HENDERSON
PORTLAND, OR
NPI
1124898416
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Former Name
REBECCA ALICE BAILLARGEON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27959)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
REBECCA ALICE HENDERSON
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
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Mailing Address
REBECCA ALICE HENDERSON
14555 SW 139TH AVE
PORTLAND, OR 97224-1401
Phone number: 857-500-3387
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