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1659550051
KENNETH ALAN WELLS
BEAVERTON, OR
NPI
1659550051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10956)
Enumeration Date
2007-11-01
Last Update Date
2007-11-01
Business Address
Mr. KENNETH ALAN WELLS L.MT.
14780 SW OSPREY DR SUITE 350
BEAVERTON, OR 97007-8028
Phone number: 503-708-1082
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Mailing Address
Mr. KENNETH ALAN WELLS L.MT.
14780 SW OSPREY DR SUITE 350
BEAVERTON, OR 97007-8028
Phone number: 503-708-1082
Copy
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