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1255608931
CHRISTIAN CROWNINGSHIELD COLLINS
PORTLAND, OR
NPI
1255608931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14624)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
Mr. CHRISTIAN CROWNINGSHIELD COLLINS LMT
1928 NE 40TH AVE
PORTLAND, OR 97212-5310
Phone number: 503-287-2787
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Mailing Address
Mr. CHRISTIAN CROWNINGSHIELD COLLINS LMT
1617 NE ALBERTA ST APT 10
PORTLAND, OR 97211-5068
Phone number: 503-891-9274
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