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1679334130
ANNEKE JAN WISNER
PORTLAND, OR
NPI
1679334130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 27783)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
ANNEKE JAN WISNER
2149 NE BROADWAY ST
PORTLAND, OR 97232-1580
Phone number: 503-281-0278
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Mailing Address
ANNEKE JAN WISNER
16581 SE HAGEN RD
HAPPY VALLEY, OR 97086-8632
Phone number:
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