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1780355636
LEATIVA TUANEI NICHOLAS
PORTLAND, OR
NPI
1780355636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
LEATIVA TUANEI NICHOLAS
5107 N MICHIGAN AVE
PORTLAND, OR 97217-2516
Phone number: 503-750-3501
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Mailing Address
LEATIVA TUANEI NICHOLAS
5107 N MICHIGAN AVE
PORTLAND, OR 97217-2516
Phone number: 503-750-3501
Copy
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