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1235125857
MICHELLE L BLAKE
SALEM, OR
NPI
1235125857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 4657)
Enumeration Date
2005-09-20
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE L BLAKE LMT
580 EWALD AVE SE
SALEM, OR 97302-3811
Phone number: 503-391-1092
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Mailing Address
Ms. MICHELLE L BLAKE LMT
580 EWALD AVE SE
SALEM, OR 97302-3811
Phone number: 503-391-1092
Copy
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