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1811415938
KHADRA OSMAN OMAR
TIGARD, OR
NPI
1811415938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
KHADRA OSMAN OMAR
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
KHADRA OSMAN OMAR
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number:
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