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1821217738
JOSEPH ALLEN CLARK
LAKE OSWEGO, OR
NPI
1821217738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13524)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
MR. JOSEPH ALLEN CLARK LMT
3270 FIR RIDGE RD
LAKE OSWEGO, OR 97035-2643
Phone number: 503-754-2845
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Mailing Address
MR. JOSEPH ALLEN CLARK LMT
3270 FIR RIDGE RD
LAKE OSWEGO, OR 97035-2643
Phone number: 503-754-2845
Copy
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