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1972859676
JACOB SMITH
PORTLAND, OR
NPI
1972859676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 17775)
Enumeration Date
2012-07-31
Last Update Date
2012-07-31
Business Address
-- JACOB SMITH LMT
8137 SW 40TH AVE
PORTLAND, OR 97219-3502
Phone number: 503-896-1396
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Mailing Address
-- JACOB SMITH LMT
8137 SW 40TH AVE
PORTLAND, OR 97219-3502
Phone number:
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