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1306498977
AMANDA JANE ASHLOCK
PORTLAND, OR
NPI
1306498977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19392)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
AMANDA JANE ASHLOCK LMT
407 NW 17TH AVE STE 5
PORTLAND, OR 97209-2247
Phone number: 971-221-7154
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Mailing Address
AMANDA JANE ASHLOCK LMT
4927 NE 30TH AVE
PORTLAND, OR 97211-7007
Phone number: 971-221-7154
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