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1922341593
ANDREA MENDIVIL
PORTLAND, OR
NPI
1922341593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 19676)
Enumeration Date
2013-04-02
Last Update Date
2015-09-04
Business Address
-- ANDREA MENDIVIL
2031 SE BELMONT ST
PORTLAND, OR 97214-2812
Phone number: 971-325-4234
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Mailing Address
-- ANDREA MENDIVIL
2031 SE BELMONT ST
PORTLAND, OR 97214-2812
Phone number: 971-325-4234
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