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1770164030
SAMUEL KIBANI
LAKE OSWEGO, OR
NPI
1770164030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26152)
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
SAMUEL KIBANI
3 MONROE PKWY STE U
LAKE OSWEGO, OR 97035-8875
Phone number: 503-386-5311
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Mailing Address
SAMUEL KIBANI
1546 SW 172ND TER UNIT 401
BEAVERTON, OR 97003-4256
Phone number: 423-803-8877
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