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1811209919
LORA GENEVA EDMISTON
PORTLAND, OR
NPI
1811209919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14753)
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
LORA GENEVA EDMISTON LMT
604 NW 23RD AVE SUITE #2
PORTLAND, OR 97210-3209
Phone number: 503-708-9049
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Mailing Address
LORA GENEVA EDMISTON LMT
710 NW NAITO PKWY C-17
PORTLAND, OR 97209-3758
Phone number: 503-860-5288
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