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1093075525
TINA NANETTE THOMAS
PORTLAND, OR
NPI
1093075525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR 16227)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
-- TINA NANETTE THOMAS LMT
440 NE 66TH AVE
PORTLAND, OR 97213-5026
Phone number: 503-407-5525
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Mailing Address
-- TINA NANETTE THOMAS LMT
440 NE 66TH AVE
PORTLAND, OR 97213-5026
Phone number: 503-407-5525
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