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1194101683
BRENT HODGSON
BEAVERTON, OR
NPI
1194101683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19627)
Enumeration Date
2015-08-06
Last Update Date
2015-08-11
Business Address
-- BRENT HODGSON LMt
4670 SW WASHINGTON AVE
BEAVERTON, OR 97005-0530
Phone number: 503-646-8575
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Mailing Address
-- BRENT HODGSON LMt
4670 SW WASHINGTON AVE
BEAVERTON, OR 97005-0530
Phone number:
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