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1487064028
MAI LUONG
PORTLAND, OR
NPI
1487064028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 805464)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
Mrs. MAI LUONG R.D
1320 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1177
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Mailing Address
Mrs. MAI LUONG R.D
1320 SW WASHINGTON ST PO BOX 3007
PORTLAND, OR 97205-2327
Phone number: 503-535-1177
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