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1235530528
EMILY BUCCOLA
PORTLAND, OR
NPI
1235530528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 1080021)
Enumeration Date
2014-09-06
Last Update Date
2014-09-06
Business Address
-- EMILY BUCCOLA RD
8050 SE 13TH AVE SUITE 204
PORTLAND, OR 97202-6694
Phone number: 562-256-6161
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Mailing Address
-- EMILY BUCCOLA RD
5331 SW MACADAM AVE SUITE 258, PMB #535
PORTLAND, OR 97239-6104
Phone number:
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