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1669800488
TABITHA WHITE
GRESHAM, OR
NPI
1669800488
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Former Name
TABITHA PIERCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17671)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
Mrs. TABITHA WHITE L.M.T.
657 NE HOOD AVE
GRESHAM, OR 97030-7328
Phone number: 503-661-7811
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Mailing Address
Mrs. TABITHA WHITE L.M.T.
657 NE HOOD AVE
GRESHAM, OR 97030-7328
Phone number: 503-661-7811
Copy
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