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1578622932
TRACY ANN BURKHOLDER
PORTLAND, OR
NPI
1578622932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 5771)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Ms. TRACY ANN BURKHOLDER LMT
1416 SE 49TH AVE
PORTLAND, OR 97215-2531
Phone number: 503-233-7404
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Mailing Address
Ms. TRACY ANN BURKHOLDER LMT
1416 SE 49TH AVE
PORTLAND, OR 97215-2531
Phone number: 503-233-7404
Copy
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