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1841636297
SHANNON ELIZABETH BALUE
PORTLAND, OR
NPI
1841636297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19720)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
-- SHANNON ELIZABETH BALUE LMT
3944 N MISSISSIPPI AVE
PORTLAND, OR 97227-1163
Phone number: 503-517-8222
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Mailing Address
-- SHANNON ELIZABETH BALUE LMT
628 NE ROSELAWN ST
PORTLAND, OR 97211-3830
Phone number: 323-371-4829
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