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1235400276
JOLENE RENEE KELLEY
PORTLAND, OR
NPI
1235400276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17693)
Enumeration Date
2012-01-23
Last Update Date
2012-05-30
Business Address
-- JOLENE RENEE KELLEY LMT
1421 SE ANKENY ST
PORTLAND, OR 97214-1471
Phone number: 503-319-9747
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Mailing Address
-- JOLENE RENEE KELLEY LMT
134 NE 22ND AVE
PORTLAND, OR 97232-3104
Phone number: 503-319-9747
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