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1881990885
JENNY L NELSON
BEAVERTON, OR
NPI
1881990885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 8131)
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
Ms. JENNY L NELSON LMT
11365 SW CANYON RD
BEAVERTON, OR 97005-2235
Phone number: 503-781-4324
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Mailing Address
Ms. JENNY L NELSON LMT
3404 19TH AVE #218
FOREST GROVE, OR 97116-2030
Phone number: 503-781-4324
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