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1962125294
SANDRA RENEE FAIRCHILD
GRESHAM, OR
NPI
1962125294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 13764)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
SANDRA RENEE FAIRCHILD LMT
24076 SE STARK ST STE 310
GRESHAM, OR 97030-3386
Phone number: 503-502-4570
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Mailing Address
SANDRA RENEE FAIRCHILD LMT
22489 SE VAN CUREN RD
EAGLE CREEK, OR 97022-8755
Phone number: 503-502-4570
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