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1982975157
ALEX SUSBAUER
PORTLAND, OR
NPI
1982975157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 8205)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
Mr. ALEX SUSBAUER LMT, BCSI (cm)
2135 SE 76TH AVE
PORTLAND, OR 97215-4103
Phone number: 503-201-9449
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Mailing Address
Mr. ALEX SUSBAUER LMT, BCSI (cm)
2135 SE 76TH AVE
PORTLAND, OR 97215-4103
Phone number: 503-201-9449
Copy
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