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1740638519
JENA BOTTE
CORVALLIS, OR
NPI
1740638519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19645)
Enumeration Date
2016-06-02
Last Update Date
2016-06-02
Business Address
-- JENA BOTTE
985 NW 23RD ST
CORVALLIS, OR 97330-4309
Phone number: 541-207-4931
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Mailing Address
-- JENA BOTTE
1605 NW FORESTGREEN AVE APT 11
CORVALLIS, OR 97330-1392
Phone number: 541-207-4931
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