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1417021262
JONATHAN DENTON
TUALATIN, OR
NPI
1417021262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12823)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- JONATHAN DENTON LMT
7052 SW NYBERG ST
TUALATIN, OR 97062-9231
Phone number: 503-766-3366
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Mailing Address
-- JONATHAN DENTON LMT
18121 SE RIVER RD # 14-14
MILWAUKIE, OR 97267-6021
Phone number: 503-781-2494
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