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1609186709
PAMELA DIANE PETERSON
GRESHAM, OR
NPI
1609186709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16817)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- PAMELA DIANE PETERSON LMT
1155 NE HOGAN DR
GRESHAM, OR 97030-4129
Phone number: 503-706-8271
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Mailing Address
-- PAMELA DIANE PETERSON LMT
838 SW MORGAN WAY
TROUTDALE, OR 97060-1561
Phone number: 503-706-8271
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