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1316135361
AVI LEE BROCKMAN
PORTLAND, OR
NPI
1316135361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00751)
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- AVI LEE BROCKMAN L.Ac.
1829 NE ALBERTA ST A
PORTLAND, OR 97211-5879
Phone number: 503-449-8455
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Mailing Address
-- AVI LEE BROCKMAN L.Ac.
1829 NE ALBERTA ST SUITE A
PORTLAND, OR 97211-5879
Phone number: 503-449-8455
Copy
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