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1710237060
MIRANDA SUE VALLE-RIESTRA
VANCOUVER, WA
NPI
1710237060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- MIRANDA SUE VALLE-RIESTRA MS
2500 NE 65TH AVE
VANCOUVER, WA 98661-6812
Phone number: 360-750-7500
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Mailing Address
-- MIRANDA SUE VALLE-RIESTRA MS
1936 NE EMERSON ST
PORTLAND, OR 97211-5513
Phone number: 360-750-7500
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