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1285458612
XAVIER RICARDO CHAVEZ IBABAO
HILLSBORO, OR
NPI
1285458612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
XAVIER RICARDO CHAVEZ IBABAO
244 W MAIN ST
HILLSBORO, OR 97123-3961
Phone number: 503-846-8766
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Mailing Address
XAVIER RICARDO CHAVEZ IBABAO
244 W MAIN ST
HILLSBORO, OR 97123-3961
Phone number: 503-846-8766
Copy
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