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1649543109
CAROL LANGE
PORTLAND, OR
NPI
1649543109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LD-D-000442)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- CAROL LANGE R.D.
2404 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-780-6942
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Mailing Address
-- CAROL LANGE R.D.
2404 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-780-6942
Copy
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