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1346326527
KATHLEEN G NISSILA
PORTLAND, OR
NPI
1346326527
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Former Name
KATHLEEN ANN GULLICKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR c1030)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- KATHLEEN G NISSILA Licensed Professiona
2622 NE 30TH AVE
PORTLAND, OR 97212-4926
Phone number: 503-281-0262
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Mailing Address
-- KATHLEEN G NISSILA Licensed Professiona
2622 NE 30TH AVE
PORTLAND, OR 97212-4926
Phone number: 503-281-0262
Copy
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