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1760879704
CASSANDRA DOUGLAS
PORTLAND, OR
NPI
1760879704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21039)
Enumeration Date
2015-04-16
Last Update Date
2015-04-16
Business Address
-- CASSANDRA DOUGLAS LMT
6239 NE 6TH AVE
PORTLAND, OR 97211-3039
Phone number: 407-721-0059
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Mailing Address
-- CASSANDRA DOUGLAS LMT
6239 NE 6TH AVE
PORTLAND, OR 97211-3039
Phone number: 407-721-0059
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