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1942757729
ALTA ULRICH
GRESHAM, OR
NPI
1942757729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17399)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
ALTA ULRICH LMT
7932 SE 282ND AVE
GRESHAM, OR 97080-8217
Phone number: 503-501-6312
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Mailing Address
ALTA ULRICH LMT
7932 SE 282ND AVE
GRESHAM, OR 97080-8217
Phone number: 503-501-6312
Copy
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ALTA ULRICH, LMT LLC