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1649625997
JUSTIN OLIPHANT
EUGENE, OR
NPI
1649625997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21679)
Enumeration Date
2016-04-24
Last Update Date
2016-04-24
Business Address
-- JUSTIN OLIPHANT LMT
1245 CHARNELTON ST SUITE 6
EUGENE, OR 97401-6214
Phone number: 317-679-0273
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Mailing Address
-- JUSTIN OLIPHANT LMT
611 WOODLEAF LN
EUGENE, OR 97405-4051
Phone number:
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