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1558723437
HAMID SHIBATA BENNETT
PORTLAND, OR
NPI
1558723437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 301)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- HAMID SHIBATA BENNETT
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-975-1259
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Mailing Address
-- HAMID SHIBATA BENNETT
3810 SE BELMONT ST
PORTLAND, OR 97214-4330
Phone number: 503-975-1259
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