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1073073904
CHIROPRACTIC INJURY CENTER, LLC
PORTLAND, OR
NPI
1073073904
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Entity Type
Organization
Authorized Contact
DMITRIY V TUPIKOV
Owner
971-373-8257
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
CHIROPRACTIC INJURY CENTER, LLC
11679 NE GLISAN ST
PORTLAND, OR 97220-2264
Phone number: 971-373-8257
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Mailing Address
CHIROPRACTIC INJURY CENTER, LLC
11679 NE GLISAN ST
PORTLAND, OR 97220-2264
Phone number: 971-373-8257
Copy
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