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1730523648
LEANDRO ALBERTO LOPEZ
PORTLAND, OR
NPI
1730523648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- LEANDRO ALBERTO LOPEZ
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
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Mailing Address
-- LEANDRO ALBERTO LOPEZ
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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