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1629663422
KELLY LYNN JORDAN
PORTLAND, OR
NPI
1629663422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25964)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
KELLY LYNN JORDAN LMT
2304 E BURNSIDE ST STE 1
PORTLAND, OR 97214-1677
Phone number: 971-716-2447
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Mailing Address
KELLY LYNN JORDAN LMT
2304 E BURNSIDE ST STE 1
PORTLAND, OR 97214-1677
Phone number: 971-716-2447
Copy
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