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1467922146
MIRANDA POWELL
PORTLAND, OR
NPI
1467922146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR LMT-22798)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
MIRANDA POWELL
3116 N VANCOUVER AVE
PORTLAND, OR 97227-1544
Phone number: 225-681-0163
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Mailing Address
MIRANDA POWELL
3116 N VANCOUVER AVE
PORTLAND, OR 97227-1544
Phone number: 225-681-0163
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