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1255178844
CARL CASANOVA
PORTLAND, OR
NPI
1255178844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
CARL CASANOVA MS,
11650 SW 67TH AVE STE 230
PORTLAND, OR 97223-8590
Phone number: 503-422-1143
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Mailing Address
CARL CASANOVA MS,
11650 SW 67TH AVE STE 230
TIGARD, OR 97223-8590
Phone number: 503-422-1143
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