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1174774848
KELLY MARIE DUVENDACK
PORTLAND, OR
NPI
1174774848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR 01208)
Enumeration Date
2008-09-30
Last Update Date
2011-12-29
Business Address
Ms. KELLY MARIE DUVENDACK L.Ac.
10350 N VANCOUVER WAY # 235
PORTLAND, OR 97217-7530
Phone number: 503-504-9819
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Mailing Address
Ms. KELLY MARIE DUVENDACK L.Ac.
10350 N VANCOUVER WAY # 235
PORTLAND, OR 97217-7530
Phone number: 503-504-9819
Copy
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