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1992009054
JONATHAN GLEN CONANT
PORTLAND, OR
NPI
1992009054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: OR AC153627)
Enumeration Date
2011-01-04
Last Update Date
2011-01-04
Business Address
Mr. JONATHAN GLEN CONANT LAc
8283 SW BARBUR BLVD
PORTLAND, OR 97219-2871
Phone number: 503-244-1330
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Mailing Address
Mr. JONATHAN GLEN CONANT LAc
2804 NE 33RD AVE
PORTLAND, OR 97212-3650
Phone number: 503-998-7852
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