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1942567557
MICHAEL T MCNICHOLAS
TUALATIN, OR
NPI
1942567557
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Professional Name
MICHAEL T MCNICHOLAS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17929)
Enumeration Date
2012-04-19
Last Update Date
2012-04-19
Business Address
Mr. MICHAEL T MCNICHOLAS
7052 SW NYBERG ST
TUALATIN, OR 97062-9231
Phone number: 503-766-3366
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Mailing Address
Mr. MICHAEL T MCNICHOLAS
7052 SW NYBERG ST
TUALATIN, OR 97062-9231
Phone number: 503-766-3366
Copy
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