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1184192015
JUNIOR ALEXIS
PORTLAND, OR
NPI
1184192015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
JUNIOR ALEXIS
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 510-679-3545
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Mailing Address
JUNIOR ALEXIS
25604 SW CANYON CREEK RD APT T101
WILSONVILLE, OR 97070-7683
Phone number:
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