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1770044281
DONNISSA SMITH
PORTLAND, OR
NPI
1770044281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR COS-HA-10154523)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
Mrs. DONNISSA SMITH the beauty throne
117 SE 129TH AVE
PORTLAND, OR 97233-1503
Phone number: 971-806-9549
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Mailing Address
Mrs. DONNISSA SMITH the beauty throne
117 SE 129TH AVE
PORTLAND, OR 97233-1503
Phone number: 971-806-9549
Copy
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