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1174787584
JASON MARK BUSSANICH
PORTLAND, OR
NPI
1174787584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 3853)
Enumeration Date
2008-07-15
Last Update Date
2009-03-13
Business Address
Dr. JASON MARK BUSSANICH D.C.
2031 E BURNSIDE ST
PORTLAND, OR 97214-1649
Phone number: 503-224-2100
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Mailing Address
Dr. JASON MARK BUSSANICH D.C.
2031 E BURNSIDE ST
PORTLAND, OR 97214-1649
Phone number: 503-224-2100
Copy
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