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1336593904
LEAH K PADACA
PORTLAND, OR
NPI
1336593904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-10177854)
Enumeration Date
2016-04-20
Last Update Date
2017-05-03
Business Address
Mrs. LEAH K PADACA ATC
2401 SE STARK ST
PORTLAND, OR 97214-1759
Phone number: 208-794-0439
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Mailing Address
Mrs. LEAH K PADACA ATC
2401 SE STARK ST
PORTLAND, OR 97214-1759
Phone number: 208-794-0439
Copy
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