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1376969485
KATIE MANSOURA
BEAVERTON, OR
NPI
1376969485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 14020)
Enumeration Date
2014-03-13
Last Update Date
2014-03-13
Business Address
-- KATIE MANSOURA
14645 SW FARMINGTON RD
BEAVERTON, OR 97007-2727
Phone number: 503-643-8626
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Mailing Address
-- KATIE MANSOURA
4015 SW PASADENA ST
PORTLAND, OR 97219-9524
Phone number:
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