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1760561674
STEPHANIE PETIX WILLARD
PORTLAND, OR
NPI
1760561674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00575)
Enumeration Date
2006-11-02
Last Update Date
2008-01-18
Business Address
-- STEPHANIE PETIX WILLARD L.Ac.
1033 SW YAMHILL ST STE 100
PORTLAND, OR 97205-2545
Phone number: 503-227-8781
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Mailing Address
-- STEPHANIE PETIX WILLARD L.Ac.
1033 SW YAMHILL ST. STE 100
PORTLAND, OR 97205
Phone number:
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