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1144432626
KIMBERLY ANNE NISTAD
PORTLAND, OR
NPI
1144432626
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Former Name
KIMBERLY ANNE BOOTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR 00345)
Enumeration Date
2007-05-04
Last Update Date
2015-10-02
Business Address
-- KIMBERLY ANNE NISTAD L.AC.
1331 SE BIRCH ST
PORTLAND, OR 97214-5335
Phone number: 503-309-7267
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Mailing Address
-- KIMBERLY ANNE NISTAD L.AC.
1331 SE BIRCH ST
PORTLAND, OR 97214-5335
Phone number: 503-309-7267
Copy
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