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1184862310
DIANE R COOPER
PORTLAND, OR
NPI
1184862310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10408)
Enumeration Date
2009-01-26
Last Update Date
2016-01-20
Business Address
-- DIANE R COOPER LMT
0112 SW HAMILON ST
PORTLAND, OR 97239-4125
Phone number: 971-235-9970
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Mailing Address
-- DIANE R COOPER LMT
0112 SW HAMILTON ST
PORTLAND, OR 97239-4125
Phone number: 971-235-9970
Copy
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