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1326461054
TINA LORENE REA
PORTLAND, OR
NPI
1326461054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 5362)
Enumeration Date
2014-01-31
Last Update Date
2014-01-31
Business Address
Mrs. TINA LORENE REA LMT
917 SW OAK ST
PORTLAND, OR 97205-2829
Phone number: 503-913-2756
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Mailing Address
Mrs. TINA LORENE REA LMT
917 SW OAK ST
PORTLAND, OR 97205-2829
Phone number: 503-913-2756
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