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1154731875
ANDREA HALLOCK
PORTLAND, OR
NPI
1154731875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20578)
Enumeration Date
2014-05-02
Last Update Date
2016-10-21
Business Address
ANDREA HALLOCK LMT
1416 SE 8TH AVE SUITE 100
PORTLAND, OR 97214-3537
Phone number: 503-239-5125
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Mailing Address
ANDREA HALLOCK LMT
1416 SE 8TH AVE SUITE 100
PORTLAND, OR 97214-3537
Phone number: 949-350-3310
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