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1952685752
RYAN DAVID GAUTHIER
PORTLAND, OR
NPI
1952685752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC156213)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
Mr. RYAN DAVID GAUTHIER LAc
2625 SE HAWTHORNE BLVD
PORTLAND, OR 97214-2941
Phone number: 503-610-3287
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Mailing Address
Mr. RYAN DAVID GAUTHIER LAc
4820 SW BARBUR BLVD APT 48
PORTLAND, OR 97239-2872
Phone number: 773-746-2316
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