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1205415502
BLAKE DUNHAM
SALEM, OR
NPI
1205415502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18560)
Enumeration Date
2021-04-05
Last Update Date
2023-06-15
Business Address
BLAKE DUNHAM
2367 STATE ST STE 100
SALEM, OR 97301-4505
Phone number: 503-568-2854
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Mailing Address
BLAKE DUNHAM
2367 STATE ST STE 100
SALEM, OR 97301-4505
Phone number: 503-568-2854
Copy
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