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1477009140
MIRELA GAVOJDEA
TIGARD, OR
NPI
1477009140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR 511807)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- MIRELA GAVOJDEA
12625 SW GRANT AVE.
TIGARD, OR 97223
Phone number: 503-620-8425
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Mailing Address
-- MIRELA GAVOJDEA
12625 SW GRANT AVE
TIGARD, OR 97223-5141
Phone number: 503-620-8425
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