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1619291713
BRENNA R SMITH
PORTLAND, OR
NPI
1619291713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12891)
Enumeration Date
2010-03-17
Last Update Date
2010-03-17
Business Address
Miss BRENNA R SMITH LMT
925 NW 19TH AVE SUITE C
PORTLAND, OR 97209-1418
Phone number: 503-810-2298
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Mailing Address
Miss BRENNA R SMITH LMT
925 NW 19TH AVE SUITE C
PORTLAND, OR 97209-1418
Phone number: 503-810-2298
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