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1790334910
IMIA ALEXANDRA HOLSTON
PORTLAND, OR
NPI
1790334910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 25192)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
IMIA ALEXANDRA HOLSTON LMT
4515 SW CORBETT AVE
PORTLAND, OR 97239-4289
Phone number: 503-224-5464
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Mailing Address
IMIA ALEXANDRA HOLSTON LMT
4409 NE KILLINGSWORTH ST UNIT 103
PORTLAND, OR 97218-1465
Phone number: 773-504-4804
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