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1740514314
LARISA AVATYUK
PORTLAND, OR
NPI
1740514314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14541)
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
-- LARISA AVATYUK LMT
17231 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 503-760-0778
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Mailing Address
-- LARISA AVATYUK LMT
17231 SE DIVISION ST
PORTLAND, OR 97236-1240
Phone number: 503-760-0778
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