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1770854796
JOHN O WOLCOTT
PORTLAND, OR
NPI
1770854796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 18365)
Enumeration Date
2012-01-23
Last Update Date
2015-04-16
Business Address
-- JOHN O WOLCOTT LMT
927 NE FAILING ST
PORTLAND, OR 97212-1228
Phone number: 971-219-1835
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Mailing Address
-- JOHN O WOLCOTT LMT
927 NE FAILING ST
PORTLAND, OR 97212-1228
Phone number: 971-219-1835
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