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1205121951
YANDEIRA ANTONIA ACOSTA
TIGARD, OR
NPI
1205121951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-06-10
Last Update Date
2011-06-10
Business Address
-- YANDEIRA ANTONIA ACOSTA
10335 SW VIEW TER
TIGARD, OR 97224-4824
Phone number: 503-726-3780
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Mailing Address
-- YANDEIRA ANTONIA ACOSTA
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3780
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