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1780235945
IVAN MERCADO
PORTLAND, OR
NPI
1780235945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25353)
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
IVAN MERCADO
5235 NE SANDY BLVD
PORTLAND, OR 97213-2562
Phone number: 503-893-5131
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Mailing Address
IVAN MERCADO
5253 NE SANDY BLVD
PORTLAND, OR 97213-2562
Phone number:
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