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1215256094
KENNETH GLOWACKI
TIGARD, OR
NPI
1215256094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC 1196)
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
-- KENNETH GLOWACKI L.Ac.
7460 SW HUNZIKER ST STE D
TIGARD, OR 97223-8244
Phone number: 503-707-2702
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Mailing Address
-- KENNETH GLOWACKI L.Ac.
8216 SW 42ND AVE
PORTLAND, OR 97219-3517
Phone number: 503-707-2702
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