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1487820239
KATY LYNN GROSSKOPF
PORTLAND, OR
NPI
1487820239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 12738)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
Mrs. KATY LYNN GROSSKOPF LMT
1516 SE 43RD AVE
PORTLAND, OR 97215-3112
Phone number: 503-307-3922
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Mailing Address
Mrs. KATY LYNN GROSSKOPF LMT
1516 SE 43RD AVE
PORTLAND, OR 97215-3112
Phone number: 503-307-3922
Copy
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