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1407204563
AMANDA J TOMAC
PORTLAND, OR
NPI
1407204563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22269)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
Miss AMANDA J TOMAC LMT
322 NW 5TH AVE SUITE 308
PORTLAND, OR 97209-3825
Phone number: 815-347-1052
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Mailing Address
Miss AMANDA J TOMAC LMT
1404 SE 36TH AVE
PORTLAND, OR 97214-4241
Phone number: 815-347-1052
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