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1861635112
HEIDI M PANNKE
PORTLAND, OR
NPI
1861635112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC190584)
Enumeration Date
2009-04-16
Last Update Date
2018-10-18
Business Address
Ms. HEIDI M PANNKE LMT
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-535-3890
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Mailing Address
Ms. HEIDI M PANNKE LMT
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-535-3890
Copy
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