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1679848121
VALENTINE CLARK
PORTLAND, OR
NPI
1679848121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12703)
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
-- VALENTINE CLARK
1308 NW 20TH AVE
PORTLAND, OR 97209-1607
Phone number: 503-936-2388
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Mailing Address
-- VALENTINE CLARK
25 NE WYGANT ST
PORTLAND, OR 97211-2745
Phone number:
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