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1245995000
KRISTEN LASTOFKA
PORTLAND, OR
NPI
1245995000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
KRISTEN LASTOFKA
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 650-922-1977
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Mailing Address
KRISTEN LASTOFKA
2615 S WATER AVE APT 408
PORTLAND, OR 97201-4842
Phone number:
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