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1619657285
EMMANUEL MMASA
TIGARD, OR
NPI
1619657285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR A998769)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
EMMANUEL MMASA
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
EMMANUEL MMASA
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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