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1720114044
KEVIN MOORE
PORTLAND, OR
NPI
1720114044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7647)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- KEVIN MOORE LMT
2617 NW THURMAN ST SUITE 3
PORTLAND, OR 97210-2202
Phone number: 503-224-4599
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Mailing Address
-- KEVIN MOORE LMT
2617 NW THURMAN ST SUITE 3
PORTLAND, OR 97210-2202
Phone number: 503-224-4599
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