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1386811511
JEFFREY E BAZE
SALEM, OR
NPI
1386811511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 5222)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
MR. JEFFREY E BAZE LMT
3245 TRIANGLE DR SE
SALEM, OR 97302-4505
Phone number: 503-363-2922
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Mailing Address
MR. JEFFREY E BAZE LMT
3245 TRIANGLE DR SE
SALEM, OR 97302-4505
Phone number: 503-363-2922
Copy
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