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1528562642
LUCAS BENJAMIN BOUMANN
PORTLAND, OR
NPI
1528562642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
LUCAS BENJAMIN BOUMANN
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 971-373-1406
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Mailing Address
LUCAS BENJAMIN BOUMANN
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number:
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