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1811294838
AUSTIN TYLER DANIEL
PORTLAND, OR
NPI
1811294838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16840)
Enumeration Date
2011-02-28
Last Update Date
2013-01-23
Business Address
Mr. AUSTIN TYLER DANIEL LMT
2216 SE 50TH AVE
PORTLAND, OR 97215-3827
Phone number: 503-871-3183
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Mailing Address
Mr. AUSTIN TYLER DANIEL LMT
2216 SE 50TH AVE
PORTLAND, OR 97215-3827
Phone number: 503-871-3183
Copy
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