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1295945103
SUSAN M LAWRENCE
BEAVERTON, OR
NPI
1295945103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR 00720)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SUSAN M LAWRENCE LAc
5400 SW ERICKSON AVE
BEAVERTON, OR 97005-3847
Phone number: 503-936-6104
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Mailing Address
-- SUSAN M LAWRENCE LAc
5400 SW ERICKSON AVE
BEAVERTON, OR 97005-3847
Phone number: 503-936-6104
Copy
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