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1912401134
NIEMA WILSON
PORTLAND, OR
NPI
1912401134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24018)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
NIEMA WILSON LMT
1216 NW 21ST AVE
PORTLAND, OR 97209-1609
Phone number: 503-662-2490
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Mailing Address
NIEMA WILSON LMT
4110 SE HAWTHORNE BLVD # 905
PORTLAND, OR 97214-5246
Phone number: 503-662-2490
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