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1164608717
BRAD HAROLD WHISNANT
PORTLAND, OR
NPI
1164608717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC01151)
Enumeration Date
2008-01-14
Last Update Date
2008-01-14
Business Address
-- BRAD HAROLD WHISNANT Lac
10490 SW EASTRIDGE ST
PORTLAND, OR 97225-5030
Phone number: 503-750-6238
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Mailing Address
-- BRAD HAROLD WHISNANT Lac
11160 SW WAVERLY PL
PORTLAND, OR 97225-4456
Phone number: 503-750-6238
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