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1336161579
JOHN STEPHEN BLANK
PORTLAND, OR
NPI
1336161579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR Ac00171)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- JOHN STEPHEN BLANK L.Ac
8283 SW BARBUR BLVD
PORTLAND, OR 97219-2871
Phone number: 503-244-1330
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Mailing Address
-- JOHN STEPHEN BLANK L.Ac
232 NE 69TH AVE
PORTLAND, OR 97213-5614
Phone number: 503-251-2083
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