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1174763692
BENJAMIN CARLOS MARTIN
PORTLAND, OR
NPI
1174763692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 1073)
Enumeration Date
2009-02-24
Last Update Date
2009-02-24
Business Address
Mr. BENJAMIN CARLOS MARTIN lmt
5010 NE 33RD AVE
PORTLAND, OR 97211-6946
Phone number: 503-238-1065
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Mailing Address
Mr. BENJAMIN CARLOS MARTIN lmt
2926 NE FLANDERS ST
PORTLAND, OR 97232-3259
Phone number: 503-239-7452
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