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1699039115
LISA MK SORENSEN
PORTLAND, OR
NPI
1699039115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10005)
Enumeration Date
2012-06-28
Last Update Date
2012-06-28
Business Address
-- LISA MK SORENSEN LMT
16742 SE DIVISION ST
PORTLAND, OR 97236-1414
Phone number: 503-761-0252
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Mailing Address
-- LISA MK SORENSEN LMT
17010 SE STARK ST APT. D311
PORTLAND, OR 97233-6205
Phone number: 503-262-0907
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