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1508099219
JACINDA LEE PHILLIPS
PORTLAND, OR
NPI
1508099219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 7201)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
-- JACINDA LEE PHILLIPS
5010 NE 33RD AVE
PORTLAND, OR 97211-6946
Phone number: 503-481-6627
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Mailing Address
-- JACINDA LEE PHILLIPS
5010 NE 33RD AVE
PORTLAND, OR 97211-6946
Phone number: 503-481-6627
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