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1194489393
TRACY SO
PORTLAND, OR
NPI
1194489393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25711)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
TRACY SO
2408 SE 60TH AVE
PORTLAND, OR 97206-1303
Phone number: 503-772-1215
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Mailing Address
TRACY SO
2408 SE 60TH AVE
PORTLAND, OR 97206-1303
Phone number: 503-772-1215
Copy
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