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1639483761
CARISSA RUTH CAMPOS
TIGARD, OR
NPI
1639483761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13603)
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
-- CARISSA RUTH CAMPOS L.M.T.
14783 SW 109TH AVE APT 1
TIGARD, OR 97224-3224
Phone number: 503-487-7348
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Mailing Address
-- CARISSA RUTH CAMPOS L.M.T.
14783 SW 109TH AVE APT 1
TIGARD, OR 97224-3224
Phone number: 503-487-7348
Copy
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