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1144843624
BONNIE L FOSSEK
PORTLAND, OR
NPI
1144843624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR LMT-22202)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
BONNIE L FOSSEK
9046 SE PINE ST
PORTLAND, OR 97216-1565
Phone number: 503-313-9425
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Mailing Address
BONNIE L FOSSEK
9046 SE PINE ST
PORTLAND, OR 97216-1565
Phone number: 503-313-9425
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