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1710424122
JAMIE MELINDA LIBERA
PORTLAND, OR
NPI
1710424122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-10145131)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- JAMIE MELINDA LIBERA
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2453
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Mailing Address
-- JAMIE MELINDA LIBERA
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2453
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