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1649564352
CARRIE ELIZABETH RUSSO
BEAVERTON, OR
NPI
1649564352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: OR 001012)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
Mrs. CARRIE ELIZABETH RUSSO NTP
650 SW MEADOW DR SUITE 121
BEAVERTON, OR 97006-7130
Phone number: 971-563-5300
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Mailing Address
Mrs. CARRIE ELIZABETH RUSSO NTP
650 SW MEADOW DR SUITE 121
BEAVERTON, OR 97006-7130
Phone number: 971-563-5300
Copy
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