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1710041348
ANTONIA LEIJA
SALEM, OR
NPI
1710041348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA rc00020848)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Miss ANTONIA LEIJA MEd.
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-588-5352
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Mailing Address
Miss ANTONIA LEIJA MEd.
8827 NE SKIDMORE ST
PORTLAND, OR 97220-5029
Phone number: 503-257-0191
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