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1124612833
TABITA LUCA FOGHIS
PORTLAND, OR
NPI
1124612833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
TABITA LUCA FOGHIS
812 SE 48TH AVE
PORTLAND, OR 97215-1724
Phone number: 503-231-7170
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Mailing Address
TABITA LUCA FOGHIS
2645 SW WILLOW PKWY
GRESHAM, OR 97080-9563
Phone number:
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