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1861549123
SHANTA M.W. PRESCOTT
PORTLAND, OR
NPI
1861549123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12363)
Enumeration Date
2007-01-05
Last Update Date
2017-03-02
Business Address
Mrs. SHANTA M.W. PRESCOTT LMT
510 NE DEKUM ST
PORTLAND, OR 97211-2926
Phone number: 503-380-7759
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Mailing Address
Mrs. SHANTA M.W. PRESCOTT LMT
510 NE DEKUM ST
PORTLAND, OR 97211-2926
Phone number: 503-380-7759
Copy
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