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1710305784
MADELINE LESLIE CHAVEZ
BEAVERTON, OR
NPI
1710305784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20033)
Enumeration Date
2014-04-07
Last Update Date
2014-04-07
Business Address
-- MADELINE LESLIE CHAVEZ LMT
3863 SW HALL BLVD STE B
BEAVERTON, OR 97005-2042
Phone number: 541-944-1989
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Mailing Address
-- MADELINE LESLIE CHAVEZ LMT
1517 SE OAK ST
PORTLAND, OR 97214-1454
Phone number: 541-944-1989
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