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1912410911
KEZIAH JOY CARTER
PORTLAND, OR
NPI
1912410911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 23490)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
KEZIAH JOY CARTER LMT
6510 NE SISKIYOU ST
PORTLAND, OR 97213-4572
Phone number: 503-290-4757
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Mailing Address
KEZIAH JOY CARTER LMT
6334 N DEPAUW ST
PORTLAND, OR 97203-5124
Phone number: 503-853-1131
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