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1386891752
ADELA THEODORA BASAYNE
PORTLAND, OR
NPI
1386891752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 2556)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
-- ADELA THEODORA BASAYNE M.A., L.M.T.
116 N PAGE ST
PORTLAND, OR 97227-1909
Phone number: 503-975-8713
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Mailing Address
-- ADELA THEODORA BASAYNE M.A., L.M.T.
4940 SW HEWETT BLVD
PORTLAND, OR 97221-2205
Phone number: 503-975-8713
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