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1841545092
MOUNTAIN LAKE WELLNESS LLC
PORTLAND, OR
NPI
1841545092
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Entity Type
Organization
Authorized Contact
LESLIE HUDDART
Owner
503-828-3050
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC153196)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
MOUNTAIN LAKE WELLNESS LLC
2442 SE 101ST AVE SUITE 308
PORTLAND, OR 97216-3060
Phone number: 503-828-3050
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Mailing Address
MOUNTAIN LAKE WELLNESS LLC
2442 SE 101ST AVE SUITE 308
PORTLAND, OR 97216-3060
Phone number: 503-828-3050
Copy
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