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1831497569
DAVID C DEROSIA
PORTLAND, OR
NPI
1831497569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16541)
Enumeration Date
2011-03-03
Last Update Date
2021-04-07
Business Address
DAVID C DEROSIA LMT
2143 NE BROADWAY ST STE 1
PORTLAND, OR 97232-1512
Phone number: 971-303-8367
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Mailing Address
DAVID C DEROSIA LMT
2143 NE BROADWAY ST STE 1
PORTLAND, OR 97232-1512
Phone number: 971-303-8367
Copy
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