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1447893748
MARIYA SULAKOV
GRESHAM, OR
NPI
1447893748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175F00000X Naturopath
(Licence: OR 4264)
Enumeration Date
2019-10-20
Last Update Date
2022-12-13
Business Address
MARIYA SULAKOV ND
25500 SE STARK ST ST 202
GRESHAM, OR 97030-2441
Phone number: 503-489-5917
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Mailing Address
MARIYA SULAKOV ND
25500 SE STARK ST ST 202
GRESHAM, OR 97030-3331
Phone number: 503-489-5917
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