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1356009914
KASSANDRA C VILLAGOMEZ
PORTLAND, OR
NPI
1356009914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
KASSANDRA C VILLAGOMEZ
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 866-523-4268
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Mailing Address
KASSANDRA C VILLAGOMEZ
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 415-269-9918
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