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1518134527
MICHAEL LARSON
PORTLAND, OR
NPI
1518134527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 6194)
Enumeration Date
2008-05-09
Last Update Date
2009-01-04
Business Address
Mr. MICHAEL LARSON L.M.T.
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-449-1932
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Mailing Address
Mr. MICHAEL LARSON L.M.T.
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-449-1932
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