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1306306113
CLINT DOUGLAS DEADMOND
PORTLAND, OR
NPI
1306306113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24121)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
Mr. CLINT DOUGLAS DEADMOND LMT
4515 SW CORBETT AVE STE 102
PORTLAND, OR 97239-4289
Phone number: 503-224-5464
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Mailing Address
Mr. CLINT DOUGLAS DEADMOND LMT
4515 SW CORBETT AVE STE 102
PORTLAND, OR 97239-4289
Phone number: 503-224-5464
Copy
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