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1932568383
JAY KROKENBERGER
SALEM, OR
NPI
1932568383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21156)
Enumeration Date
2016-02-14
Last Update Date
2018-10-01
Business Address
JAY KROKENBERGER LMT
1010 13TH ST SE
SALEM, OR 97302-2507
Phone number: 971-361-6070
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Mailing Address
JAY KROKENBERGER LMT
1010 13TH ST SE
SALEM, OR 97302-2507
Phone number: 971-361-6070
Copy
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