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1356745400
SUSANNA FARAHAT
PORTLAND, OR
NPI
1356745400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC169710)
Enumeration Date
2014-10-17
Last Update Date
2014-10-26
Business Address
-- SUSANNA FARAHAT LAc
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-535-3800
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Mailing Address
-- SUSANNA FARAHAT LAc
3946 NE 12TH AVE
PORTLAND, OR 97212-1244
Phone number: 443-605-2986
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