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1275978686
STEPHANIE J. GLASS
PORTLAND, OR
NPI
1275978686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7544)
Enumeration Date
2013-04-30
Last Update Date
2013-04-30
Business Address
-- STEPHANIE J. GLASS L.M.T.
6555 N FENWICK AVE
PORTLAND, OR 97217-4951
Phone number: 503-880-8905
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Mailing Address
-- STEPHANIE J. GLASS L.M.T.
6555 N FENWICK AVE
PORTLAND, OR 97217-4951
Phone number: 503-880-8905
Copy
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