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1689185506
EDGAR GONZALEZ
LAKE OSWEGO, OR
NPI
1689185506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20741)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
EDGAR GONZALEZ LMT
17777 LOWER BOONES FERRY RD STE A
LAKE OSWEGO, OR 97035-5398
Phone number: 503-699-5888
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Mailing Address
EDGAR GONZALEZ LMT
5989 SE HARMONY RD APT 12
MILWAUKIE, OR 97222-2111
Phone number: 503-840-7462
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