JUSTIN THOMAS JANICKI

PORTLAND, OR
NPI1013152958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  ac01233)
Enumeration Date2008-12-05
Last Update Date2008-12-05
Business Address
Mr. JUSTIN THOMAS JANICKI L.AC, MAcOM, Dipl.OM
5230 NE FREMONT ST
PORTLAND, OR 97213-1735
Phone number: 716-680-0636
Mailing Address
Mr. JUSTIN THOMAS JANICKI L.AC, MAcOM, Dipl.OM
5230 NE FREMONT ST
PORTLAND, OR 97213-1735
Phone number: 716-680-0636
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