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1578906061
TINA L MATAYA
GLADSTONE, OR
NPI
1578906061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
-- TINA L MATAYA NTP
115 W GLOUCESTER ST
GLADSTONE, OR 97027-2032
Phone number: 503-303-8153
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Mailing Address
-- TINA L MATAYA NTP
29061 SE HIGHWAY 224
EAGLE CREEK, OR 97022-9719
Phone number: 503-303-8153
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