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1205305489
SARA LUCILLE CARBONNEAU
PORTLAND, OR
NPI
1205305489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC190041)
Enumeration Date
2018-11-18
Last Update Date
2018-11-18
Business Address
SARA LUCILLE CARBONNEAU LAc
1017 SW MORRISON ST STE 405
PORTLAND, OR 97205-2629
Phone number: 301-639-6917
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Mailing Address
SARA LUCILLE CARBONNEAU LAc
1410 NE SCHUYLER ST APT 3
PORTLAND, OR 97212-4448
Phone number: 301-639-6917
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