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1619579653
BRENT A LUEBBERT
PORTLAND, OR
NPI
1619579653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24762)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
BRENT A LUEBBERT LMT
3724 N MASSACHUSETTS AVE UNIT B
PORTLAND, OR 97227-1030
Phone number: 360-713-1840
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Mailing Address
BRENT A LUEBBERT LMT
3724 N MASSACHUSETTS AVE UNIT B
PORTLAND, OR 97227-1030
Phone number: 360-713-1840
Copy
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