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1043633738
CONNIE JAN
PORTLAND, OR
NPI
1043633738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC164280)
Enumeration Date
2014-01-30
Last Update Date
2022-07-02
Business Address
CONNIE JAN L.AC
4531 SE BELMONT ST STE 203
PORTLAND, OR 97215-1675
Phone number: 503-236-9609
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Mailing Address
CONNIE JAN L.AC
4531 SE BELMONT ST STE 203
PORTLAND, OR 97215-1675
Phone number: 503-236-9609
Copy
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