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1235319690
BRIAN DARYL BUCKNER
TIGARD, OR
NPI
1235319690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10755)
Enumeration Date
2007-11-13
Last Update Date
2009-08-04
Business Address
Mr. BRIAN DARYL BUCKNER L.M.T.
15495 SW SEQUOIA PKWY STE. #150
TIGARD, OR 97224-6100
Phone number: 503-957-0338
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Mailing Address
Mr. BRIAN DARYL BUCKNER L.M.T.
15495 SW SEQUOIA PKWY STE. #150
TIGARD, OR 97224-6100
Phone number: 503-957-0338
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