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1558148049
TIFFANY LEE ALICEA
PORTLAND, OR
NPI
1558148049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
TIFFANY LEE ALICEA
6400 SE LAKE RD
PORTLAND, OR 97222-2129
Phone number: 628-250-7500
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Mailing Address
TIFFANY LEE ALICEA
6400 SE LAKE RD
PORTLAND, OR 97222-2129
Phone number:
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