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1205051679
MARK CLEGG
PORTLAND, OR
NPI
1205051679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 6717)
Enumeration Date
2007-04-13
Last Update Date
2009-03-13
Business Address
Mr. MARK CLEGG LMT
2031 E BURNSIDE ST
PORTLAND, OR 97214-1649
Phone number: 503-224-2100
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Mailing Address
Mr. MARK CLEGG LMT
3200 SE 21ST AVE
PORTLAND, OR 97202-2318
Phone number: 503-516-3160
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