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1972948479
SHANNON KRISTINE KALTENBACH
PORTLAND, OR
NPI
1972948479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 10650)
Enumeration Date
2013-05-09
Last Update Date
2013-05-09
Business Address
-- SHANNON KRISTINE KALTENBACH LMT
2015 NE CESAR E CHAVEZ BLVD
PORTLAND, OR 97212-5305
Phone number: 503-327-3768
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Mailing Address
-- SHANNON KRISTINE KALTENBACH LMT
6934 SE OGDEN ST
PORTLAND, OR 97206-7382
Phone number: 503-327-3768
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