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1164930376
DIVINE IRAMBONA
PORTLAND, OR
NPI
1164930376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
DIVINE IRAMBONA Behavioral Technicia
4949 SW MACADAM AVE
PORTLAND, OR 97239-3912
Phone number: 800-273-9292
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Mailing Address
DIVINE IRAMBONA Behavioral Technicia
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 800-273-4292
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