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1154753267
KIMRA WARREN HAWK
PORTLAND, OR
NPI
1154753267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 000362)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- KIMRA WARREN HAWK RD, LD
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2460
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Mailing Address
-- KIMRA WARREN HAWK RD, LD
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2460
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