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1003168337
AYLA JADE HIMMELSBACH
PORTLAND, OR
NPI
1003168337
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Former Name
AYLA JADE DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 3649ATI)
Enumeration Date
2012-10-10
Last Update Date
2021-11-04
Business Address
Mrs. AYLA JADE HIMMELSBACH OD
7826 SW CAPITOL HWY
PORTLAND, OR 97219-2466
Phone number: 503-224-7788
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Mailing Address
Mrs. AYLA JADE HIMMELSBACH OD
7826 SW CAPITOL HWY
PORTLAND, OR 97219-2466
Phone number: 503-244-7788
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