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1760012983
SOPHIA DAPHNE TSANOTELIS
TIGARD, OR
NPI
1760012983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
SOPHIA DAPHNE TSANOTELIS
15290 SW ROYALTY PKWY
TIGARD, OR 97224-4059
Phone number: 971-256-4047
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Mailing Address
SOPHIA DAPHNE TSANOTELIS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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