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1508138728
VINCENT MICHAEL DEFAZIO
PORTLAND, OR
NPI
1508138728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-02-03
Last Update Date
2013-03-07
Business Address
-- VINCENT MICHAEL DEFAZIO M.Ed.
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- VINCENT MICHAEL DEFAZIO M.Ed.
3415 SE HENDERSON ST
PORTLAND, OR 97202-3371
Phone number:
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