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1700264934
MATT WORLOCK
PORTLAND, OR
NPI
1700264934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21346)
Enumeration Date
2015-05-07
Last Update Date
2015-05-07
Business Address
MATT WORLOCK LMT
2572 NW VAUGHN ST APT D.
PORTLAND, OR 97210-2555
Phone number: 971-570-5870
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Mailing Address
MATT WORLOCK LMT
2572 NW VAUGHN ST APT D.
PORTLAND, OR 97210-2555
Phone number: 971-570-5870
Copy
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