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1699291344
ALEXIS EXTINE
PORTLAND, OR
NPI
1699291344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23528)
Additional Taxonomies
225700000X Massage Therapist
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
ALEXIS EXTINE
6504 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-327-3819
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Mailing Address
ALEXIS EXTINE
1958 NE 72ND AVE
PORTLAND, OR 97213-5358
Phone number: 707-543-6955
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