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1871909325
KATHARINE LEILANI SUPPAN
NEWBERG, OR
NPI
1871909325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16815)
Enumeration Date
2014-07-05
Last Update Date
2014-07-05
Business Address
-- KATHARINE LEILANI SUPPAN LMT
21440 SW WILDFLOWER DR
NEWBERG, OR 97132-9401
Phone number: 971-533-3508
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Mailing Address
-- KATHARINE LEILANI SUPPAN LMT
21440 SW WILDFLOWER DR
NEWBERG, OR 97132-9401
Phone number: 971-533-3508
Copy
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