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1477070043
CASEY TYRONE GATES
PORTLAND, OR
NPI
1477070043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 023247)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
CASEY TYRONE GATES LMT
3109 NE BROADWAY ST STE B
PORTLAND, OR 97232-1812
Phone number: 971-413-3106
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Mailing Address
CASEY TYRONE GATES LMT
4118 SE YAMHILL ST
PORTLAND, OR 97214-4447
Phone number: 971-413-3106
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