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1780097089
JEFFERY L WING
PORTLAND, OR
NPI
1780097089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173C00000X Reflexologist
(Licence: OR 7695)
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
Mr. JEFFERY L WING LMT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-709-2811
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Mailing Address
Mr. JEFFERY L WING LMT
6274 SW CAPITOL HWY
PORTLAND, OR 97239-2674
Phone number: 503-709-2811
Copy
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