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1013208321
ANITA TADAVARTHY
TIGARD, OR
NPI
1013208321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC01167)
Enumeration Date
2011-04-21
Last Update Date
2011-04-21
Business Address
Miss ANITA TADAVARTHY MAcOM, LAc
7110 SW FIR LOOP SUITE 205
TIGARD, OR 97223-8084
Phone number: 503-819-2904
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Mailing Address
Miss ANITA TADAVARTHY MAcOM, LAc
7110 SW FIR LOOP SUITE 205
TIGARD, OR 97223-8084
Phone number: 503-819-2904
Copy
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