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1558731620
SHERIDAN LONG
PORTLAND, OR
NPI
1558731620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 8047)
Enumeration Date
2015-10-01
Last Update Date
2015-10-01
Business Address
Mr. SHERIDAN LONG
6429 NE 33RD AVE
PORTLAND, OR 97211-7209
Phone number: 503-939-5520
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Mailing Address
Mr. SHERIDAN LONG
6429 NE 33RD AVE
PORTLAND, OR 97211-7209
Phone number: 503-939-5520
Copy
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