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1912234246
KAREN SUE BONAFEDE GAULT
LAKE OSWEGO, OR
NPI
1912234246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC01193)
Enumeration Date
2009-11-06
Last Update Date
2009-11-06
Business Address
Mrs. KAREN SUE BONAFEDE GAULT L.Ac.
530 1ST ST SUITE B-1
LAKE OSWEGO, OR 97034-3248
Phone number: 503-804-0133
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Mailing Address
Mrs. KAREN SUE BONAFEDE GAULT L.Ac.
1380 7TH ST
WEST LINN, OR 97068-4718
Phone number: 503-234-6137
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