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1134831258
GRANT JORDAN
BEND, OR
NPI
1134831258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27416)
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
GRANT JORDAN
335 NE 4TH ST
BEND, OR 97701-5162
Phone number: 541-668-7506
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Mailing Address
GRANT JORDAN
63265 SILVIS RD
BEND, OR 97701-9743
Phone number:
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