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1053740589
JODI WALLACE
PORTLAND, OR
NPI
1053740589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- JODI WALLACE
2020 SE POWELL BLVD
PORTLAND, OR 97202-2345
Phone number: 503-233-6121
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Mailing Address
-- JODI WALLACE
2020 SE POWELL BLVD
PORTLAND, OR 97202-2345
Phone number: 503-233-6121
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