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1376944033
CHRYSTAL SHAW LMT
PORTLAND, OR
NPI
1376944033
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Entity Type
Organization
Authorized Contact
CHRYSTAL SHAW
Owner
503-381-9876
Organization Subpart ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20397)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
CHRYSTAL SHAW LMT
6200 NE 32ND PL
PORTLAND, OR 97211-6720
Phone number: 503-381-9876
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Mailing Address
CHRYSTAL SHAW LMT
6200 NE 32ND PL
PORTLAND, OR 97211-6720
Phone number:
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