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1669059291
KELLY ANN ILSEMAN
PORTLAND, OR
NPI
1669059291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2021-03-29
Last Update Date
2021-07-22
Business Address
KELLY ANN ILSEMAN MAcOM, MS, MEd
729 E BURNSIDE ST STE 109
PORTLAND, OR 97214-1264
Phone number: 617-784-2320
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Mailing Address
KELLY ANN ILSEMAN MAcOM, MS, MEd
729 E BURNSIDE ST STE 109
PORTLAND, OR 97214-1264
Phone number: 617-784-2320
Copy
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