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1538793856
TAMEKIO RUSSELL
GRESHAM, OR
NPI
1538793856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
TAMEKIO RUSSELL
2072 SW SANDLEWOOD PL
GRESHAM, OR 97080-9752
Phone number: 503-702-6560
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Mailing Address
TAMEKIO RUSSELL
2072 SW SANDLEWOOD PL
GRESHAM, OR 97080-9752
Phone number: 503-702-6560
Copy
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