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1265157796
EDWINA MANTE KOCH
PORTLAND, OR
NPI
1265157796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Enumeration Date
2022-10-06
Last Update Date
2022-12-03
Business Address
EDWINA MANTE KOCH
2166 NE CLACKAMAS ST
PORTLAND, OR 97232-1688
Phone number: 201-707-0560
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Mailing Address
EDWINA MANTE KOCH
179 BERGEN AVE
NEW MILFORD, NJ 07646-2805
Phone number: 201-707-0560
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