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1932808359
AMANDA K VAN PELT
GRESHAM, OR
NPI
1932808359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 61298)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
AMANDA K VAN PELT
307 NE KELLY AVE
GRESHAM, OR 97030-7455
Phone number: 971-678-3178
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Mailing Address
AMANDA K VAN PELT
307 NE KELLY AVE
GRESHAM, OR 97030-7455
Phone number: 971-678-3178
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