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1306059365
KIPP LACHANCE
PORTLAND, OR
NPI
1306059365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11845)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. KIPP LACHANCE LMT
833 SW 11TH AVE SUITE 715
PORTLAND, OR 97205-2125
Phone number: 503-358-9638
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Mailing Address
Mr. KIPP LACHANCE LMT
2755 NE 35TH AVE
PORTLAND, OR 97212-2711
Phone number: 503-358-9638
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