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1225150402
DIANE E SWENSON
PORTLAND, OR
NPI
1225150402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7787)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mrs. DIANE E SWENSON LMT
4721 NE 25 AVE
PORTLAND, OR 97211-6435
Phone number: 503-281-3406
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Mailing Address
Mrs. DIANE E SWENSON LMT
4721 NE 25 AVE
PORTLAND, OR 97211-6435
Phone number: 503-281-3406
Copy
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