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1811024912
MARK J SEPULVEDA
BEAVERTON, OR
NPI
1811024912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 2761)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Dr. MARK J SEPULVEDA DC
1865 NW 169TH PL SUITE #100
BEAVERTON, OR 97006-7327
Phone number: 503-614-8300
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Mailing Address
Dr. MARK J SEPULVEDA DC
1865 NW 169TH PL SUITE #100
BEAVERTON, OR 97006-7327
Phone number: 503-614-8300
Copy
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