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1932458569
ALICE FERNANDEZ
PORTLAND, OR
NPI
1932458569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 4828)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- ALICE FERNANDEZ LMT, CLT-LANA
4715 NE 14TH AVE
PORTLAND, OR 97211-5011
Phone number: 503-284-1033
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Mailing Address
-- ALICE FERNANDEZ LMT, CLT-LANA
4715 NE 14TH AVE
PORTLAND, OR 97211-5011
Phone number: 503-284-1033
Copy
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