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1629552708
IRENE MARIE STAFFORD
PORTLAND, OR
NPI
1629552708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 22842)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
IRENE MARIE STAFFORD
4922 N VANCOUVER AVE
PORTLAND, OR 97217-2826
Phone number: 503-493-9398
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Mailing Address
IRENE MARIE STAFFORD
4634 NE SIMPSON ST
PORTLAND, OR 97218-1831
Phone number: 503-706-4859
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