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1104807585
VICTORIA GRACE MOSSE
PORTLAND, OR
NPI
1104807585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT 503236)
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
Business Address
Ms. VICTORIA GRACE MOSSE MA, ATC,PTA
1620 SE ANKENY ST
PORTLAND, OR 97214-1448
Phone number: 503-546-0620
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Mailing Address
Ms. VICTORIA GRACE MOSSE MA, ATC,PTA
7108 N IVANHOE ST
PORTLAND, OR 97203-3943
Phone number: 503-289-6361
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