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1144591298
THERESA BRAUNSTEIN
PORTLAND, OR
NPI
1144591298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18321)
Enumeration Date
2012-01-21
Last Update Date
2012-01-21
Business Address
THERESA BRAUNSTEIN LMT
7204 NE 6TH AVE
PORTLAND, OR 97211-2834
Phone number: 360-241-6105
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Mailing Address
THERESA BRAUNSTEIN LMT
923 NE COUCH ST
PORTLAND, OR 97232-2926
Phone number: 360-241-6105
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