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1184828956
MAE CECILE COSTELLO
PORTLAND, OR
NPI
1184828956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00936)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- MAE CECILE COSTELLO L.Ac.
2143 NE BROADWAY ST STE 107C
PORTLAND, OR 97232-1512
Phone number: 503-309-3963
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Mailing Address
-- MAE CECILE COSTELLO L.Ac.
2143 NE BROADWAY ST STE 107C
PORTLAND, OR 97232-1512
Phone number: 503-309-3963
Copy
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