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1275082059
DANIEL ADDY
PORTLAND, OR
NPI
1275082059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18289)
Enumeration Date
2016-09-22
Last Update Date
2017-01-02
Business Address
-- DANIEL ADDY LMT
3710 NE SIMPSON ST
PORTLAND, OR 97211-7963
Phone number: 503-929-6053
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Mailing Address
-- DANIEL ADDY LMT
3710 NE SIMPSON ST
PORTLAND, OR 97211-7963
Phone number: 503-929-6053
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