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1285010538
DESIRE JACKSON
TUALATIN, OR
NPI
1285010538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20590)
Enumeration Date
2015-08-09
Last Update Date
2015-08-09
Business Address
-- DESIRE JACKSON
8975 SW SWEEK DR APT 222
TUALATIN, OR 97062-7481
Phone number: 503-544-2020
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Mailing Address
-- DESIRE JACKSON
8975 SW SWEEK DR APT 222
TUALATIN, OR 97062-7481
Phone number:
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