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1962606053
DAVINA R. LEONG
PORTLAND, OR
NPI
1962606053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR L.M.T. #7102)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- DAVINA R. LEONG L.M.T.
1829 NE ALBERTA ST SUITE A
PORTLAND, OR 97211-5879
Phone number: 503-367-0844
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Mailing Address
-- DAVINA R. LEONG L.M.T.
4855 NE GRAND AVE
PORTLAND, OR 97211-3973
Phone number: 503-367-0844
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