TRAVIS JONQUIL

PORTLAND, OR
NPI1881025872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19517)
Enumeration Date2013-12-02
Last Update Date2013-12-02
Business Address
-- TRAVIS JONQUIL
4511 SE HAWTHORNE BLVD SUITE 204
PORTLAND, OR 97215-3170
Phone number: 503-809-1177
Mailing Address
-- TRAVIS JONQUIL
4511 SE HAWTHORNE BLVD SUITE 204
PORTLAND, OR 97215-3170
Phone number: 503-809-1177
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