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1790429702
SELENE YVETTE GOLD
SPRINGFIELD, OR
NPI
1790429702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26503)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
SELENE YVETTE GOLD
4045 VIRGINIA AVE
SPRINGFIELD, OR 97478-6477
Phone number: 541-221-1401
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Mailing Address
SELENE YVETTE GOLD
4045 VIRGINIA AVE
SPRINGFIELD, OR 97478-6477
Phone number: 541-221-1401
Copy
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