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1821316233
DOUG GROOTVELD
PORTLAND, OR
NPI
1821316233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00604)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
-- DOUG GROOTVELD
100 NE 78TH AVE
PORTLAND, OR 97213-6335
Phone number: 971-219-7250
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Mailing Address
-- DOUG GROOTVELD
100 NE 78TH AVE
PORTLAND, OR 97213-6335
Phone number: 971-219-7250
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