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1538398219
JONATHAN R PRUE
PORTLAND, OR
NPI
1538398219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11061)
Enumeration Date
2009-07-02
Last Update Date
2009-07-02
Business Address
-- JONATHAN R PRUE LMT
2015 NE 39TH AVE
PORTLAND, OR 97212-5305
Phone number: 503-753-2233
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Mailing Address
-- JONATHAN R PRUE LMT
2015 NE 39TH AVE
PORTLAND, OR 97212-5305
Phone number: 503-753-2233
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