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1912199944
COREY SWIM
PORTLAND, OR
NPI
1912199944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 7889)
Enumeration Date
2007-08-14
Last Update Date
2016-03-01
Business Address
-- COREY SWIM LMT
439 N BROADWAY
PORTLAND, OR 97227-1803
Phone number: 503-961-3718
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Mailing Address
-- COREY SWIM LMT
439 N BROADWAY
PORTLAND, OR 97227-1803
Phone number: 503-961-3718
Copy
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