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1962735696
KELLY FAYE LEWIS
MCMINNVILLE, OR
NPI
1962735696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15441)
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
Mrs. KELLY FAYE LEWIS LMT
707 E 5TH ST
MCMINNVILLE, OR 97128-4508
Phone number: 503-484-8538
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Mailing Address
Mrs. KELLY FAYE LEWIS LMT
14805 SE FOSTER RD
DAYTON, OR 97114-7426
Phone number: 503-484-8538
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