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1497304547
GENESIS BANUELOS
TIGARD, OR
NPI
1497304547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
GENESIS BANUELOS
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
GENESIS BANUELOS
8915 SW CEDAR ST
TIGARD, OR 97223
Phone number: 503-726-3690
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