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1992007884
JENNIFER DEE MOORE
LAKE OSWEGO, OR
NPI
1992007884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 15174)
Enumeration Date
2010-11-26
Last Update Date
2010-11-26
Business Address
-- JENNIFER DEE MOORE LMT
478 2ND ST
LAKE OSWEGO, OR 97034-3127
Phone number: 918-612-5378
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Mailing Address
-- JENNIFER DEE MOORE LMT
295 3RD ST 17
LAKE OSWEGO, OR 97034-3053
Phone number: 917-612-5378
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