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1396253498
LA TISHA RICO
PORTLAND, OR
NPI
1396253498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
LA TISHA RICO
2020 SE POWELL BLVD
PORTLAND, OR 97202-2345
Phone number: 505-233-6121
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Mailing Address
LA TISHA RICO
2020 SE POWELL BLVD
PORTLAND, OR 97202-2345
Phone number: 505-233-6121
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