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1740810803
JESSIE DETTWILER
PORTLAND, OR
NPI
1740810803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25499)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
JESSIE DETTWILER
6510 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-290-4757
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Mailing Address
JESSIE DETTWILER
5722 NE 30TH AVE
PORTLAND, OR 97211-6810
Phone number: 970-846-3277
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