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1962111732
ALEXIS ROSE ANN JOHNSON
MILWAUKIE, OR
NPI
1962111732
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Former Name
ALEXIS ROSE ANN SHAVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24745)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
Ms. ALEXIS ROSE ANN JOHNSON
3880 SE HARRISON ST
MILWAUKIE, OR 97222-5899
Phone number: 503-513-4665
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Mailing Address
Ms. ALEXIS ROSE ANN JOHNSON
5011 SE 30TH AVE APT 77
PORTLAND, OR 97202-9507
Phone number: 760-910-5094
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