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1013217702
JOSEPH WARREN LASAC
PORTLAND, OR
NPI
1013217702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
-- JOSEPH WARREN LASAC
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- JOSEPH WARREN LASAC
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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