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1164547634
JENNIFER MARIE BOOM
GRESHAM, OR
NPI
1164547634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7615)
Enumeration Date
2007-03-21
Last Update Date
2016-11-09
Business Address
-- JENNIFER MARIE BOOM LMT
24850 SE STARK ST SUITE 200
GRESHAM, OR 97030-8316
Phone number: 503-310-2622
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Mailing Address
-- JENNIFER MARIE BOOM LMT
24850 SE STARK ST SUITE 200
GRESHAM, OR 97030-8316
Phone number: 503-310-2622
Copy
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