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1184074130
KELLY ANNE SMITH
PORTLAND, OR
NPI
1184074130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19641)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- KELLY ANNE SMITH L.M.T.
1971 NW OVERTON ST ALBA MASSAGE & BODYWORK
PORTLAND, OR 97209-1618
Phone number: 503-734-0973
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Mailing Address
-- KELLY ANNE SMITH L.M.T.
1971 NW OVERTON ST ALBA MASSAGE & BODYWORK
PORTLAND, OR 97209-1618
Phone number: 503-734-0973
Copy
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