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1407093628
DONOVAN JOSEPH MONROE
PORTLAND, OR
NPI
1407093628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10214)
Enumeration Date
2009-01-09
Last Update Date
2009-01-09
Business Address
Mr. DONOVAN JOSEPH MONROE LMT
1988 SE LADD AVE
PORTLAND, OR 97214-4737
Phone number: 503-984-1963
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Mailing Address
Mr. DONOVAN JOSEPH MONROE LMT
1988 SE LADD AVE
PORTLAND, OR 97214-4737
Phone number: 503-984-1963
Copy
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