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1770763294
AUDELIA DECOSTA
PORTLAND, OR
NPI
1770763294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-11-13
Last Update Date
2015-12-18
Business Address
-- AUDELIA DECOSTA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-1793
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Mailing Address
-- AUDELIA DECOSTA
1154 NW 99TH AVE
PORTLAND, OR 97229-6311
Phone number: 503-418-1793
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