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1235510132
WINTRY VERRANEAULT
PORTLAND, OR
NPI
1235510132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21188)
Enumeration Date
2015-06-16
Last Update Date
2019-02-19
Business Address
WINTRY VERRANEAULT
221 SE 11TH AVE UNIT 226
PORTLAND, OR 97214-1357
Phone number: 971-279-4454
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Mailing Address
WINTRY VERRANEAULT
4072 NE 10TH AVE
PORTLAND, OR 97212-1223
Phone number: 503-333-3882
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