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1255975256
ANTHONY D BODY
TIGARD, OR
NPI
1255975256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
ANTHONY D BODY
13203 SW WELLINGTON PL
TIGARD, OR 97223-1776
Phone number: 503-336-0795
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Mailing Address
ANTHONY D BODY
13203 SW WELLINGTON PL
TIGARD, OR 97223-1776
Phone number: 503-336-0795
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