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1043721145
REYNALDO LUGO
PORTLAND, OR
NPI
1043721145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
Mr. REYNALDO LUGO
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-888-1425
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Mailing Address
Mr. REYNALDO LUGO
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-888-1425
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