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1992841555
JANICE CAROLE MODESITT
LAKE OSWEGO, OR
NPI
1992841555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 1035)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mrs. JANICE CAROLE MODESITT L.M.T.
16463 BOONES FERRY RD
LAKE OSWEGO, OR 97035-4259
Phone number: 503-699-2955
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Mailing Address
Mrs. JANICE CAROLE MODESITT L.M.T.
4299 SW COUNTRY WOODS COURT
LAKE OSWEGO, OR 97035
Phone number: 503-635-6858
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