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1821230087
ANDREA CALLIE BURNETT
PORTLAND, OR
NPI
1821230087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 4113)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
ANDREA CALLIE BURNETT L.M.T
6125 N OMAHA AVE
PORTLAND, OR 97217-4267
Phone number: 503-289-4519
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Mailing Address
ANDREA CALLIE BURNETT L.M.T
6125 N OMAHA AVE
PORTLAND, OR 97217-4267
Phone number: 503-289-4519
Copy
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