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1225088545
CASEY BROOME
CLACKAMAS, OR
NPI
1225088545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10100)
Enumeration Date
2006-05-10
Last Update Date
2014-06-13
Business Address
-- CASEY BROOME LMT
16169 SE 106TH AVE
CLACKAMAS, OR 97015-9699
Phone number: 503-784-5623
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Mailing Address
-- CASEY BROOME LMT
16169 SE 106TH AVE
CLACKAMAS, OR 97015-9699
Phone number: 503-784-5623
Copy
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