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1891458980
JOSEPH WILLIAM GILLAM
PORTLAND, OR
NPI
1891458980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23871)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
JOSEPH WILLIAM GILLAM LMT
8311 SE 13TH AVE STE A
PORTLAND, OR 97202-7170
Phone number: 971-202-0554
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Mailing Address
JOSEPH WILLIAM GILLAM LMT
8624 SE 17TH AVE APT 203
PORTLAND, OR 97202-7387
Phone number: 607-793-3193
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