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1184353179
NASTASSIA LEE-ANN BIRD
JACKSONVILLE, OR
NPI
1184353179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24301)
Enumeration Date
2022-06-06
Last Update Date
2022-06-30
Business Address
NASTASSIA LEE-ANN BIRD LMT
235 W D ST
JACKSONVILLE, OR 97530-0038
Phone number: 707-225-7650
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Mailing Address
NASTASSIA LEE-ANN BIRD LMT
PO BOX 74
WILLIAMS, OR 97544-0074
Phone number:
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