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1427770296
MAYRA ITZEL CAPISTRAN
PORTLAND, OR
NPI
1427770296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
MAYRA ITZEL CAPISTRAN
501 N DIXON ST
PORTLAND, OR 97227-1804
Phone number: 503-916-2000
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Mailing Address
MAYRA ITZEL CAPISTRAN
7500 SW CANYON LN
PORTLAND, OR 97225-3810
Phone number: 323-485-7246
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