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1417612151
SAMARA LILY ROMAN-HOLBA
PORTLAND, OR
NPI
1417612151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-10217666)
Enumeration Date
2021-11-08
Last Update Date
2024-05-13
Business Address
SAMARA LILY ROMAN-HOLBA MS, EdM, RD, LD
2455 NW MARSHALL ST STE 7
PORTLAND, OR 97210-2949
Phone number: 310-906-8950
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Mailing Address
SAMARA LILY ROMAN-HOLBA MS, EdM, RD, LD
2241 NW PETTYGROVE ST APT 7
PORTLAND, OR 97210-2685
Phone number: 310-906-8950
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