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1235643065
JUSTIN COREY JOHNSON
MILWAUKIE, OR
NPI
1235643065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23952)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
JUSTIN COREY JOHNSON LMT
2100 SE LAKE RD STE 1
MILWAUKIE, OR 97222-7759
Phone number: 503-344-6711
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Mailing Address
JUSTIN COREY JOHNSON LMT
2100 SE LAKE RD STE 1
MILWAUKIE, OR 97222-7759
Phone number: 503-344-6711
Copy
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