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1376063727
ELAINE LOUISE GAETANO
PORTLAND, OR
NPI
1376063727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21815)
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
ELAINE LOUISE GAETANO LMT
4922 N VANCOUVER AVE
PORTLAND, OR 97217-2826
Phone number: 503-493-9398
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Mailing Address
ELAINE LOUISE GAETANO LMT
5615 N MARYLAND AVE
PORTLAND, OR 97217-4628
Phone number: 408-310-7072
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