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1366225559
AZZAYA GANTULGA
PORTLAND, OR
NPI
1366225559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
AZZAYA GANTULGA
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
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Mailing Address
AZZAYA GANTULGA
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
Copy
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