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1194061952
BENJAMIN LAKIN KOENIGSBERG
PORTLAND, OR
NPI
1194061952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18009)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
-- BENJAMIN LAKIN KOENIGSBERG LMT
2928 SE HAWTHORNE BLVD #101
PORTLAND, OR 97214-4147
Phone number: 503-358-5187
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Mailing Address
-- BENJAMIN LAKIN KOENIGSBERG LMT
3922 SE 49TH AVE
PORTLAND, OR 97206-3018
Phone number: 503-358-5187
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