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1912469008
JOSEPH LEONARDO JORDAN
PORTLAND, OR
NPI
1912469008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 12747)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
JOSEPH LEONARDO JORDAN LMT
3529 NE BRYCE ST
PORTLAND, OR 97212-1854
Phone number: 503-853-1944
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Mailing Address
JOSEPH LEONARDO JORDAN LMT
3529 NE BRYCE ST
PORTLAND, OR 97212-1854
Phone number: 503-853-1944
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