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1700308715
STACEY LAVON JARVIS
TIGARD, OR
NPI
1700308715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21576)
Enumeration Date
2017-07-11
Last Update Date
2017-07-11
Business Address
-- STACEY LAVON JARVIS LMT
13599 SW PACIFIC HWY
TIGARD, OR 97223-4801
Phone number: 503-598-0999
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Mailing Address
-- STACEY LAVON JARVIS LMT
13080 SW CREEKSHIRE DR
TIGARD, OR 97223-5726
Phone number: 971-706-0884
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