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JOHNNIE SAN NICOLAS
Massage Therapist
NPI: 1760079347Individual
Specialties, Licenses & Credentials
Massage TherapistPrimary
Massage Therapist
Code: 225700000X
26117(OR)
Contact & Hours
- Address
- 3241 NE BROADWAY ST
PORTLAND, OR 97232 - Phone
- (503) 282-8582
Quick Facts
- NPI
- 1760079347
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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