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1316280779
CHARLES LESLIE
MCMINNVILLE, OR
NPI
1316280779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14555)
Enumeration Date
2013-04-03
Last Update Date
2013-04-03
Business Address
-- CHARLES LESLIE LMT
415 NE 3RD ST
MCMINNVILLE, OR 97128-6216
Phone number: 503-376-8329
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Mailing Address
-- CHARLES LESLIE LMT
415 NE 3RD ST
MCMINNVILLE, OR 97128-6216
Phone number:
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