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1306321906
DIANA SHAPOVALOVA
PORTLAND, OR
NPI
1306321906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24501)
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
DIANA SHAPOVALOVA
17221 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 971-338-8542
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Mailing Address
DIANA SHAPOVALOVA
17221 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 971-338-8542
Copy
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