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1972243749
MACKENNA RAE MASTRUD
PORTLAND, OR
NPI
1972243749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC209770)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
MACKENNA RAE MASTRUD LAc
2939 SW SPRING GARDEN ST
PORTLAND, OR 97219-3946
Phone number: 971-350-9148
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Mailing Address
MACKENNA RAE MASTRUD LAc
2939 SW SPRING GARDEN ST
PORTLAND, OR 97219-3946
Phone number: 971-350-9148
Copy
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