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1154985208
LYLE DETTLOFF
PORTLAND, OR
NPI
1154985208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
LYLE DETTLOFF
728 NE DEKUM ST
PORTLAND, OR 97211-3628
Phone number: 503-568-1906
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Mailing Address
LYLE DETTLOFF
728 NE DEKUM ST
PORTLAND, OR 97211-3628
Phone number:
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