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1073150900
PIERRE SOUBRIER
PORTLAND, OR
NPI
1073150900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10196910)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
PIERRE SOUBRIER ATC
1844 SW MORRISON ST
PORTLAND, OR 97205-1605
Phone number: 203-804-9433
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Mailing Address
PIERRE SOUBRIER ATC
6207 SW DOLPH DR
PORTLAND, OR 97219-4949
Phone number:
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