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1205264793
MICHAEL B NICHOLES
CLACKAMAS, OR
NPI
1205264793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17302)
Enumeration Date
2013-10-22
Last Update Date
2013-10-22
Business Address
-- MICHAEL B NICHOLES L.M.T.
8810 SE SUNNYBROOK BLVD STE #100
CLACKAMAS, OR 97015-6843
Phone number: 503-607-2226
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Mailing Address
-- MICHAEL B NICHOLES L.M.T.
9721 SE CLATSOP ST
PORTLAND, OR 97266-6102
Phone number: 702-336-0392
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