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1598038127
SOVANN DARA PEN
PORTLAND, OR
NPI
1598038127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2800)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
Mr. SOVANN DARA PEN L.P.C.
12 SE 14TH AVE #104
PORTLAND, OR 97214-1404
Phone number: 571-207-4718
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Mailing Address
Mr. SOVANN DARA PEN L.P.C.
12 SE 14TH AVE #104
PORTLAND, OR 97214-1404
Phone number: 571-207-4718
Copy
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