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1831482611
JOHN CARROLL
TIGARD, OR
NPI
1831482611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
-- JOHN CARROLL
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3784
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Mailing Address
-- JOHN CARROLL
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3784
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