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1740457944
IZETTA SMITH
PORTLAND, OR
NPI
1740457944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
-- IZETTA SMITH MA
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-6553
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Mailing Address
-- IZETTA SMITH MA
3154 SE SALMON ST
PORTLAND, OR 97214-4142
Phone number:
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