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1588219943
JASON ALBERTO ARDILES
PORTLAND, OR
NPI
1588219943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25004)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
JASON ALBERTO ARDILES
5105 SE HAWTHORNE BLVD
PORTLAND, OR 97215-3301
Phone number: 503-308-1479
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Mailing Address
JASON ALBERTO ARDILES
3819 SE FRANCIS ST
PORTLAND, OR 97202-3214
Phone number: 415-524-5248
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