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1033687868
JORDYN DOMOGALLA
PORTLAND, OR
NPI
1033687868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 10193658)
Enumeration Date
2018-11-09
Last Update Date
2018-11-13
Business Address
JORDYN DOMOGALLA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3248
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Mailing Address
JORDYN DOMOGALLA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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