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1568962298
MILLIE BARBARA FABER
BEAVERTON, OR
NPI
1568962298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160972830)
Enumeration Date
2018-02-19
Last Update Date
2020-03-18
Business Address
MILLIE BARBARA FABER LAT, ATC
5300 SW 180TH AVE APT 12
BEAVERTON, OR 97078-3235
Phone number: 714-815-7066
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Mailing Address
MILLIE BARBARA FABER LAT, ATC
5300 SW 180TH AVE APT 12
BEAVERTON, OR 97078-3235
Phone number:
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