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1184071722
SHELLY LYNN HENDERSON
CLACKAMAS, OR
NPI
1184071722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21699)
Enumeration Date
2016-05-23
Last Update Date
2016-05-23
Business Address
-- SHELLY LYNN HENDERSON LMT
10001 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-5746
Phone number: 503-908-0881
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Mailing Address
-- SHELLY LYNN HENDERSON LMT
1615 NE BRYANT ST
PORTLAND, OR 97211-4711
Phone number: 360-981-6814
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