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1184898694
JESSICA AMY GARDNER
PORTLAND, OR
NPI
1184898694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 13866)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
-- JESSICA AMY GARDNER L.M.T.
3944 N MISSISSIPPI AVE
PORTLAND, OR 97227-1163
Phone number: 503-517-8222
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Mailing Address
-- JESSICA AMY GARDNER L.M.T.
3944 N MISSISSIPPI AVE
PORTLAND, OR 97227-1163
Phone number: 503-517-8222
Copy
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