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1972929222
JILLIAN TONGREN
PORTLAND, OR
NPI
1972929222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 19593)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- JILLIAN TONGREN
2314 SE 87TH AVE
PORTLAND, OR 97216-2008
Phone number: 312-259-6004
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Mailing Address
-- JILLIAN TONGREN
2314 SE 87TH AVE
PORTLAND, OR 97216-2008
Phone number: 312-259-6004
Copy
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