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1578861175
COLLEEN ALICIA SMITH
PORTLAND, OR
NPI
1578861175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16502)
Enumeration Date
2011-03-05
Last Update Date
2011-03-05
Business Address
-- COLLEEN ALICIA SMITH LMT
430 SW 13TH AVE
PORTLAND, OR 97205-2361
Phone number: 503-544-8726
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Mailing Address
-- COLLEEN ALICIA SMITH LMT
430 SW 13TH AVE
PORTLAND, OR 97205-2361
Phone number: 503-544-8726
Copy
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