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1588962732
IVANA MICANOVIC
PORTLAND, OR
NPI
1588962732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- IVANA MICANOVIC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-680-3103
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Mailing Address
-- IVANA MICANOVIC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-680-3103
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