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1780955138
DOUGLAS MEACHAM
GRESHAM, OR
NPI
1780955138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12196)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- DOUGLAS MEACHAM LMT
123 E POWELL BLVD # 304
GRESHAM, OR 97030-7624
Phone number: 503-319-7142
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Mailing Address
-- DOUGLAS MEACHAM LMT
123 E POWELL BLVD # 304
GRESHAM, OR 97030-7624
Phone number: 503-319-7142
Copy
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