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1356860746
PATRICIA BETH FUENTES JIMMIE
OREGON CITY, OR
NPI
1356860746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 023252)
Enumeration Date
2017-09-17
Last Update Date
2017-09-17
Business Address
PATRICIA BETH FUENTES JIMMIE LMT
619 HIGH ST
OREGON CITY, OR 97045-2240
Phone number: 503-656-4993
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Mailing Address
PATRICIA BETH FUENTES JIMMIE LMT
2215 SE MILLER ST
PORTLAND, OR 97202-6873
Phone number: 503-522-7351
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