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1952537037
BRETON DAN SIMMONS
PORTLAND, OR
NPI
1952537037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 11607)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
Mr. BRETON DAN SIMMONS LMT
16742 SE DIVISION ST
PORTLAND, OR 97236-1414
Phone number: 971-285-7868
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Mailing Address
Mr. BRETON DAN SIMMONS LMT
12522 SW 123RD AVE
TIGARD, OR 97223-3058
Phone number: 971-285-7868
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