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1982780136
MICHELLE GAULKE BLACKWOOD
GRESHAM, OR
NPI
1982780136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC00567)
Enumeration Date
2006-10-31
Last Update Date
2017-04-19
Business Address
-- MICHELLE GAULKE BLACKWOOD LAc
24850 SE STARK ST SUITE 200
GRESHAM, OR 97030-2656
Phone number: 503-665-9355
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Mailing Address
-- MICHELLE GAULKE BLACKWOOD LAc
24850 SE STARK ST STE 200
GRESHAM, OR 97030-8320
Phone number: 503-665-9355
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