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1437799061
LESLIE GILDERSLEEVE BETTENCOURT
PORTLAND, OR
NPI
1437799061
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Former Name
LESLIE ROXANNE GILDERSLEEVE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 10187701)
Enumeration Date
2020-01-11
Last Update Date
2020-01-11
Business Address
LESLIE GILDERSLEEVE BETTENCOURT RD
9427 SW BARNES RD STE 390
PORTLAND, OR 97225-6652
Phone number: 503-215-7230
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Mailing Address
LESLIE GILDERSLEEVE BETTENCOURT RD
2981 NW 110TH TER
PORTLAND, OR 97229-4662
Phone number: 610-392-8731
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