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1578906913
CENICA L BALLANTYNE
BEAVERTON, OR
NPI
1578906913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16775)
Enumeration Date
2013-04-16
Last Update Date
2013-04-16
Business Address
-- CENICA L BALLANTYNE LMT
14195 SW ALLEN BLVD
BEAVERTON, OR 97005-4408
Phone number: 503-626-2166
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Mailing Address
-- CENICA L BALLANTYNE LMT
14195 SW ALLEN BLVD
BEAVERTON, OR 97005-4408
Phone number: 503-626-2166
Copy
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