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1811648579
TINA CAPUTO
GRESHAM, OR
NPI
1811648579
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Entity Type
Organization
Authorized Contact
CHRISTINA MARIE GADZALA CAPTUO
Owner
858-204-9661
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
TINA CAPUTO
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 858-204-9661
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Mailing Address
TINA CAPUTO
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number:
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