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1639946148
TERRY MOODY
PORTLAND, OR
NPI
1639946148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
TERRY MOODY
4651 NE KILLINGSWORTH ST UNIT 24
PORTLAND, OR 97218-1950
Phone number: 520-624-0927
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Mailing Address
TERRY MOODY
4035 NE SANDY BLVD STE 200
PORTLAND, OR 97212-5331
Phone number:
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