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1164608527
JESSICA ERIN MACISAAC
SALEM, OR
NPI
1164608527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13380)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
-- JESSICA ERIN MACISAAC L.M.T.
2794 12TH ST SE
SALEM, OR 97302-3159
Phone number: 503-566-8456
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Mailing Address
-- JESSICA ERIN MACISAAC L.M.T.
1370 EMMONS DR NE
SALEM, OR 97301-2900
Phone number: 503-569-1094
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