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1740031996
VIVIAN WALTER
CORVALLIS, OR
NPI
1740031996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23972)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
VIVIAN WALTER LMT
881 NW GRANT AVE
CORVALLIS, OR 97330-4539
Phone number: 514-203-0501
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Mailing Address
VIVIAN WALTER LMT
881 NW GRANT AVE
CORVALLIS, OR 97330-4539
Phone number: 541-203-0501
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