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1215403035
TERRA MARIE LONG
PORTLAND, OR
NPI
1215403035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24168)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
TERRA MARIE LONG LMT
6685 W BURNSIDE RD UNIT 313
PORTLAND, OR 97210-6686
Phone number: 405-802-2340
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Mailing Address
TERRA MARIE LONG LMT
6685 W BURNSIDE RD UNIT 313
PORTLAND, OR 97210-6686
Phone number: 405-802-2340
Copy
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