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1639352909
DAVID JACOB
PORTLAND, OR
NPI
1639352909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14424)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- DAVID JACOB LMT
2534 SE 35TH AVE
PORTLAND, OR 97202-1502
Phone number: 503-522-5550
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Mailing Address
-- DAVID JACOB LMT
2534 SE 35TH AVE
PORTLAND, OR 97202-1502
Phone number: 503-522-5550
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