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1174139588
MOON MARCELLE BUKAS
BEND, OR
NPI
1174139588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 023245)
Enumeration Date
2020-09-21
Last Update Date
2024-02-22
Business Address
Mr. MOON MARCELLE BUKAS LMT
501 NE GREEN WOOD AVE 300
BEND, OR 97701
Phone number: 541-706-0961
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Mailing Address
Mr. MOON MARCELLE BUKAS LMT
501 NE GREENWOOD AVE #300
BEND, OR 97701
Phone number: 541-706-0961
Copy
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