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1154795268
TIM GALLUCCI
PORTLAND, OR
NPI
1154795268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5691)
Enumeration Date
2015-12-01
Last Update Date
2024-05-14
Business Address
TIM GALLUCCI DC
1111 SE STEPHENS ST
PORTLAND, OR 97214-4748
Phone number: 971-544-7058
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Mailing Address
TIM GALLUCCI DC
4112 NE 79TH AVE
PORTLAND, OR 97218-4202
Phone number:
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