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1215387402
FABIANA GARCIA
PORTLAND, OR
NPI
1215387402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: OR 124Q00000X)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
Ms. FABIANA GARCIA RDH
18139 NE COUCH ST
PORTLAND, OR 97230-7281
Phone number: 503-489-1760
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Mailing Address
Ms. FABIANA GARCIA RDH
18139 NE COUCH ST
PORTLAND, OR 97230-7281
Phone number: 503-489-1760
Copy
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