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1801402946
DEMETI GELGELU
PORTLAND, OR
NPI
1801402946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: OR 3024537281)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
DEMETI GELGELU
2010 SW 79TH AVE
PORTLAND, OR 97225-3806
Phone number: 971-506-4073
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Mailing Address
DEMETI GELGELU
2010 SW 79TH AVE
PORTLAND, OR 97225-3806
Phone number: 971-506-4073
Copy
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