ULRIC SHAWN LEGOUEST

GRESHAM, OR
NPI1770937740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  21816)
Enumeration Date2016-04-15
Last Update Date2016-04-15
Business Address
-- ULRIC SHAWN LEGOUEST LMT
22400 SE STARK ST # 105
GRESHAM, OR 97030-2656
Phone number: 503-907-0099
Mailing Address
-- ULRIC SHAWN LEGOUEST LMT
12530 SE MARKET ST
PORTLAND, OR 97233-1241
Phone number: 503-314-1722
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