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1538694393
BRADLEY BLAZER
HOOD RIVER, OR
NPI
1538694393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23208)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
-- BRADLEY BLAZER LMT
104 5TH ST
HOOD RIVER, OR 97031-2058
Phone number: 541-490-1444
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Mailing Address
-- BRADLEY BLAZER LMT
411 JOHNSON AVE
LYLE, WA 98635-9046
Phone number:
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