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1649511098
JASEN JOHN KING
NEWBERG, OR
NPI
1649511098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19073)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- JASEN JOHN KING LMT
200 E 2ND ST
NEWBERG, OR 97132-3083
Phone number: 971-241-1232
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Mailing Address
-- JASEN JOHN KING LMT
1304 N COLLEGE ST
NEWBERG, OR 97132-9101
Phone number: 971-241-1232
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