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1548794688
ANGELA RAE JACKSON
PORTLAND, OR
NPI
1548794688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC178054)
Enumeration Date
2017-04-15
Last Update Date
2017-04-15
Business Address
-- ANGELA RAE JACKSON LAc
1820 SW VERMONT ST STE E
PORTLAND, OR 97219-1945
Phone number: 971-266-3410
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Mailing Address
-- ANGELA RAE JACKSON LAc
1820 SW VERMONT ST STE E
PORTLAND, OR 97219-1945
Phone number: 971-266-3410
Copy
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