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1306991724
LYUDMILA N AVANESOV
PORTLAND, OR
NPI
1306991724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- LYUDMILA N AVANESOV QMHA
310 NW FLANDERS ST
PORTLAND, OR 97209-3941
Phone number: 503-827-3949
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Mailing Address
-- LYUDMILA N AVANESOV QMHA
14711 SW BEARD RD APT 101
BEAVERTON, OR 97007-9120
Phone number:
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