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1326605932
KORINNE MACK
GRESHAM, OR
NPI
1326605932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25020)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
KORINNE MACK
405 NE DIVISION ST
GRESHAM, OR 97030-3947
Phone number: 503-661-0791
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Mailing Address
KORINNE MACK
923 NE 55TH AVE
PORTLAND, OR 97213-3604
Phone number: 414-484-8222
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