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1942510821
ELISA JANE MATTICE
SAINT HELENS, OR
NPI
1942510821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11684)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
Miss ELISA JANE MATTICE B.S., L.M.T.
32598 PITTSBURG RD
SAINT HELENS, OR 97051-9124
Phone number: 503-438-8017
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Mailing Address
Miss ELISA JANE MATTICE B.S., L.M.T.
6615 SE 58TH AVE
PORTLAND, OR 97206-7513
Phone number: 503-438-8017
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