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1366093916
JENNIFER CARRIE LEE
PORTLAND, OR
NPI
1366093916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17916)
Enumeration Date
2019-09-25
Last Update Date
2019-09-25
Business Address
JENNIFER CARRIE LEE
5135 SE 41ST AVE
PORTLAND, OR 97202-4234
Phone number: 509-710-9668
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Mailing Address
JENNIFER CARRIE LEE
5135 SE 41ST AVE
PORTLAND, OR 97202-4234
Phone number: 509-710-9668
Copy
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