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1871511576
BRANDIN MICHELLE THIBODEAUX
NEWBERG, OR
NPI
1871511576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11652)
Enumeration Date
2006-07-18
Last Update Date
2011-09-30
Business Address
-- BRANDIN MICHELLE THIBODEAUX L.M.T.
21974 NE HIGHWAY 240
NEWBERG, OR 97132-6859
Phone number: 503-550-5083
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Mailing Address
-- BRANDIN MICHELLE THIBODEAUX L.M.T.
PO BOX 222
NEWBERG, OR 97132-0222
Phone number: 503-550-5083
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