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1700287711
IRENE TETZ
BEAVERTON, OR
NPI
1700287711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20747)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- IRENE TETZ LMT
14619 SW TEAL BLVD
BEAVERTON, OR 97007-6194
Phone number: 503-746-6585
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Mailing Address
-- IRENE TETZ LMT
17185 SW HERITAGE CT #15
BEAVERTON, OR 97003-5063
Phone number: 719-640-6501
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