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1952596041
LAURA ANN GREEN
PORTLAND, OR
NPI
1952596041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 14167)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
Ms. LAURA ANN GREEN
4118 SE YAMHILL ST
PORTLAND, OR 97214-4447
Phone number: 781-718-5901
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Mailing Address
Ms. LAURA ANN GREEN
4118 SE YAMHILL ST
PORTLAND, OR 97214-4447
Phone number: 781-718-5901
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