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1952051401
LEANIDA POLUSHKIN
WOODBURN, OR
NPI
1952051401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 26488)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
LEANIDA POLUSHKIN LMT
33933 S MERIDIAN RD
WOODBURN, OR 97071-8774
Phone number: 907-399-0708
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Mailing Address
LEANIDA POLUSHKIN LMT
39173 JEFFREY RD
MONMOUTH, OR 97361-9613
Phone number: 907-399-0708
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