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1316246309
TRACY BOSNIAN
PORTLAND, OR
NPI
1316246309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: WA 000333)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
-- TRACY BOSNIAN NTP
2123 SE 37TH AVE
PORTLAND, OR 97214-5817
Phone number: 503-236-2220
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Mailing Address
-- TRACY BOSNIAN NTP
2123 SE 37TH AVE
PORTLAND, OR 97214-5817
Phone number: 503-236-2220
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