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1295976975
LESLIE DIETERLE
PORTLAND, OR
NPI
1295976975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-03-10
Last Update Date
2009-03-10
Business Address
-- LESLIE DIETERLE B.S.
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-517-8663
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Mailing Address
-- LESLIE DIETERLE B.S.
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-517-8663
Copy
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