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1841659661
CARLOS REYNOSO
PORTLAND, OR
NPI
1841659661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- CARLOS REYNOSO
847 NE 19TH AVE
PORTLAND, OR 97232-8459
Phone number: 503-238-0769
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Mailing Address
-- CARLOS REYNOSO
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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