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1508118563
ELIZABETH JANE CANNON
PORTLAND, OR
NPI
1508118563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 11670)
Enumeration Date
2012-10-15
Last Update Date
2022-12-21
Business Address
ELIZABETH JANE CANNON LMBT
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-213-6907
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Mailing Address
ELIZABETH JANE CANNON LMBT
2715 NW SAVIER ST
PORTLAND, OR 97210-2415
Phone number: 706-410-0982
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