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1710752191
HOLOGRAPHIC BODY LLC
PORTLAND, OR
NPI
1710752191
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Entity Type
Organization
Authorized Contact
ADAM PERSINGER
Owner
541-954-7091
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
HOLOGRAPHIC BODY LLC
3014 NE KILLINGSWORTH
PORTLAND, OR 97211
Phone number: 541-954-7091
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Mailing Address
HOLOGRAPHIC BODY LLC
3834 NE SIMPSON ST
PORTLAND, OR 97211-7961
Phone number:
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