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1003080664
MIRA E SHAH
PORTLAND, OR
NPI
1003080664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 11905)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
-- MIRA E SHAH M.S. CCC-SLP
2855 SE 61ST AVENUE
PORTLAND, OR 97206-1320
Phone number: 503-348-0931
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Mailing Address
-- MIRA E SHAH M.S. CCC-SLP
2855 SE 61ST AVENUE
PORTLAND, OR 97206-1320
Phone number: 503-348-0931
Copy
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