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1992195796
LISA SHORETT
PORTLAND, OR
NPI
1992195796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 21048)
Enumeration Date
2015-01-31
Last Update Date
2015-01-31
Business Address
MISS LISA SHORETT LMT
1235 SE DIVISION ST STE 117
PORTLAND, OR 97202-1085
Phone number: 503-770-0278
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Mailing Address
MISS LISA SHORETT LMT
3158 SE LAKE RD
MILWAUKIE, OR 97222-6898
Phone number: 503-516-9811
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