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1841881968
KELLY KRUG
PORTLAND, OR
NPI
1841881968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24445)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
KELLY KRUG LMT
9129 NE GLISAN ST
PORTLAND, OR 97220-5865
Phone number: 608-397-6821
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Mailing Address
KELLY KRUG LMT
9129 NE GLISAN ST
PORTLAND, OR 97220-5865
Phone number:
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