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1386114379
JORDAN L FARAH
MILWAUKIE, OR
NPI
1386114379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24707)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
JORDAN L FARAH LMT
2100 SE LAKE RD STE 1
MILWAUKIE, OR 97222-7759
Phone number: 503-344-6711
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Mailing Address
JORDAN L FARAH LMT
2100 SE LAKE RD STE 1
MILWAUKIE, OR 97222-7759
Phone number: 503-344-6711
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