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1528817632
ANGEL LAZARO ROQUES
PORTLAND, OR
NPI
1528817632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27803)
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
ANGEL LAZARO ROQUES LMT
4704 NE 9TH AVE
PORTLAND, OR 97211-4510
Phone number: 786-344-6287
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Mailing Address
ANGEL LAZARO ROQUES LMT
4704 NE 9TH AVE
PORTLAND, OR 97211-4510
Phone number:
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