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1558628008
LISA MARIE CAMPOS
BEAVERTON, OR
NPI
1558628008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 18388)
Enumeration Date
2012-04-20
Last Update Date
2012-04-20
Business Address
-- LISA MARIE CAMPOS LMT
1925 NW 173RD AVE APT #1610
BEAVERTON, OR 97006-7319
Phone number: 503-997-0680
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Mailing Address
-- LISA MARIE CAMPOS LMT
1925 NW 173RD AVE APT #1610
BEAVERTON, OR 97006
Phone number: 503-997-0680
Copy
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