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1902251168
JACLYN R REGIS
BEAVERTON, OR
NPI
1902251168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 222313)
Enumeration Date
2016-04-25
Last Update Date
2016-04-25
Business Address
-- JACLYN R REGIS LMT
12750 SW 2ND ST SUITE 102
BEAVERTON, OR 97005-2778
Phone number: 971-336-5134
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Mailing Address
-- JACLYN R REGIS LMT
2212 SE NORDLUND CT
HILLSBORO, OR 97123-6164
Phone number: 971-336-5134
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