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1457003923
TABITHA GENTRY
PORTLAND, OR
NPI
1457003923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 8107)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
TABITHA GENTRY LMT
1818 NE MLK JR BLVD STE C
PORTLAND, OR 97212-3976
Phone number: 503-206-8988
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Mailing Address
TABITHA GENTRY LMT
8310 NE HUMBOLDT ST
PORTLAND, OR 97220-4759
Phone number: 503-912-8910
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