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1487173340
LANA KRISTINE WIRGES
PORTLAND, OR
NPI
1487173340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15383)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
LANA KRISTINE WIRGES LMT
210 NW 17TH AVE
PORTLAND, OR 97209-2151
Phone number: 971-407-3066
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Mailing Address
LANA KRISTINE WIRGES LMT
5704 NE MASON ST
PORTLAND, OR 97218-2210
Phone number: 503-688-8001
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