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1154728376
JESSICA EVANS
PORTLAND, OR
NPI
1154728376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19804)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
-- JESSICA EVANS L.M.T.
1830 NE GRAND AVE
PORTLAND, OR 97212-3912
Phone number: 503-894-9437
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Mailing Address
-- JESSICA EVANS L.M.T.
537 N STAFFORD ST
PORTLAND, OR 97217-1577
Phone number: 503-559-4462
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