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1538709704
JORDAN CHARLES SMITH
EUGENE, OR
NPI
1538709704
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Former Name
JORDAN CHARLES GATES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24458)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
Mr. JORDAN CHARLES SMITH LMT
775 MENROE ST.
EUGENE, OR 97402
Phone number: 541-762-2009
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Mailing Address
Mr. JORDAN CHARLES SMITH LMT
775 MENROE ST.
EUGENE, OR 97402
Phone number: 541-762-2009
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