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1174913545
EDWIN ROLANDO ROMAN
PORTLAND, OR
NPI
1174913545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19797)
Enumeration Date
2015-01-23
Last Update Date
2015-01-23
Business Address
-- EDWIN ROLANDO ROMAN
13454 NE SANDY BLVD APT. Y3
PORTLAND, OR 97230-2681
Phone number: 321-693-8201
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Mailing Address
-- EDWIN ROLANDO ROMAN
13454 NE SANDY BLVD APT. Y3
PORTLAND, OR 97230-2681
Phone number: 321-693-8201
Copy
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