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1710443114
GRADY CLEMENCE NESBITT
PORTLAND, OR
NPI
1710443114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR 185138)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
GRADY CLEMENCE NESBITT L.Ac
3537 N WILLIAMS AVE
PORTLAND, OR 97227-1437
Phone number: 720-273-4254
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Mailing Address
GRADY CLEMENCE NESBITT L.Ac
1007 NE TILLAMOOK ST APT 3
PORTLAND, OR 97212-4062
Phone number: 720-273-4254
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