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1871870956
JACQUELYN C PANNULLO
PORTLAND, OR
NPI
1871870956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16525)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
-- JACQUELYN C PANNULLO MS, LMT
3327 NE 68TH AVE
PORTLAND, OR 97213-5221
Phone number: 503-756-6170
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Mailing Address
-- JACQUELYN C PANNULLO MS, LMT
3327 NE 68TH AVE
PORTLAND, OR 97213-5221
Phone number: 503-756-6170
Copy
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