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1265001903
MALLORY SHARON LOPAS RIZZIO
PORTLAND, OR
NPI
1265001903
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Former Name
MALLORY SHARON LOPAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 16925)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
Mrs. MALLORY SHARON LOPAS RIZZIO
6252 SW BURLINGAME AVE
PORTLAND, OR 97239-2633
Phone number: 503-515-4918
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Mailing Address
Mrs. MALLORY SHARON LOPAS RIZZIO
6252 SW BURLINGAME AVE
PORTLAND, OR 97239-2633
Phone number: 503-515-4918
Copy
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