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1407216765
LA SHAWNDA MARIE JOHNSON
PORTLAND, OR
NPI
1407216765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21643)
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
-- LA SHAWNDA MARIE JOHNSON LMT
4048 N ATTU ST
PORTLAND, OR 97203-2059
Phone number: 503-757-5786
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Mailing Address
-- LA SHAWNDA MARIE JOHNSON LMT
4048 N ATTU ST
PORTLAND, OR 97203-2059
Phone number: 503-757-5786
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