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1396581625
HEATHER CARISSA HANNIGAN
PORTLAND, OR
NPI
1396581625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR BAP-E-10243881)
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
HEATHER CARISSA HANNIGAN LE
1954 SE 182ND AVE # 201
PORTLAND, OR 97233-5602
Phone number: 503-593-1933
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Mailing Address
HEATHER CARISSA HANNIGAN LE
4110 SE HAWTHORNE BLVD # 191
PORTLAND, OR 97214-5246
Phone number:
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