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1376993907
JUSTIN WYCOFF
PORTLAND, OR
NPI
1376993907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22208)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- JUSTIN WYCOFF LMT
6030 SE DIVISION ST
PORTLAND, OR 97206-1346
Phone number: 503-772-1215
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Mailing Address
-- JUSTIN WYCOFF LMT
711 SE 11TH AVE APT 3
PORTLAND, OR 97214-2451
Phone number: 707-321-8310
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