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1396564787
VITALY STARR
PORTLAND, OR
NPI
1396564787
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Professional Name
CHAZ VITALE
Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: OR 10153107)
Enumeration Date
2024-10-03
Last Update Date
2024-10-08
Business Address
VITALY STARR LIC. TATTOO ARTIST
1614 NE ALBERTA ST
PORTLAND, OR 97211-5048
Phone number: 503-453-4557
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Mailing Address
VITALY STARR LIC. TATTOO ARTIST
1614 NE ALBERTA ST
PORTLAND, OR 97211-5048
Phone number: 503-453-4557
Copy
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