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1891933289
LISA ANN BOURLON
BEAVERTON, OR
NPI
1891933289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14779)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
-- LISA ANN BOURLON
238 SE 2 AVENUE
BEAVERTON, OR 97123
Phone number: 503-358-3385
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Mailing Address
-- LISA ANN BOURLON
13345 SW BRIGHTWOOD STREET
BEAVERTON, OR 97005-1222
Phone number: 503-358-3385
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