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1194492371
CARISSA ANN CLARK
PORTLAND, OR
NPI
1194492371
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Former Name
CARISSA ANN JOBE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
CARISSA ANN CLARK LMT
2188 SW PARK PL STE 10
PORTLAND, OR 97205-1100
Phone number: 503-568-1390
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Mailing Address
CARISSA ANN CLARK LMT
2188 SW PARK PL STE 10
PORTLAND, OR 97205-1100
Phone number: 503-568-1390
Copy
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