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1255820130
TRICIA JO ELIZABETH SPARKS
SALEM, OR
NPI
1255820130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13952)
Enumeration Date
2018-05-06
Last Update Date
2018-05-06
Business Address
TRICIA JO ELIZABETH SPARKS
4265 STATE ST APT 6
SALEM, OR 97301-5448
Phone number: 971-219-5445
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Mailing Address
TRICIA JO ELIZABETH SPARKS
4265 STATE ST APT 6
SALEM, OR 97301-5448
Phone number: 971-219-5445
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