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1629278015
SUSAN K PEDERSEN
PORTLAND, OR
NPI
1629278015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14205)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
-- SUSAN K PEDERSEN LMT
424 NE MORRIS ST C
PORTLAND, OR 97212-3164
Phone number: 503-281-4647
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Mailing Address
-- SUSAN K PEDERSEN LMT
424 NE MORRIS ST UNIT C
PORTLAND, OR 97212-3164
Phone number: 503-281-4647
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