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1740719103
TATYANA ALEKSANDROVA
PORTLAND, OR
NPI
1740719103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG193855)
Enumeration Date
2017-06-08
Last Update Date
2019-05-08
Business Address
TATYANA ALEKSANDROVA
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Phone number: 503-216-2621
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Mailing Address
TATYANA ALEKSANDROVA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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