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1700267614
COLLEEN GENUINE
PORTLAND, OR
NPI
1700267614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17394)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
COLLEEN GENUINE LMT
6037 SE STARK ST # 1
PORTLAND, OR 97215-1933
Phone number: 971-409-7362
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Mailing Address
COLLEEN GENUINE LMT
6037 SE STARK ST # 1
PORTLAND, OR 97215-1933
Phone number: 971-409-7362
Copy
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