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1306247424
SHANE WILLIAM RYAN
PORTLAND, OR
NPI
1306247424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14734)
Enumeration Date
2014-09-08
Last Update Date
2014-09-08
Business Address
Mr. SHANE WILLIAM RYAN LMT
4039 N MISSISSIPPI AVE STE 302
PORTLAND, OR 97227-1477
Phone number: 503-706-8261
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Mailing Address
Mr. SHANE WILLIAM RYAN LMT
4039 N MISSISSIPPI AVE STE 302
PORTLAND, OR 97227-1477
Phone number: 503-706-8261
Copy
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