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1851526776
HOLLIE N TIRRELL
PORTLAND, OR
NPI
1851526776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2009-05-20
Last Update Date
2009-05-20
Business Address
-- HOLLIE N TIRRELL ATC, CKTP
527 SW HALL ST
PORTLAND, OR 97201-5230
Phone number: 503-725-4073
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Mailing Address
-- HOLLIE N TIRRELL ATC, CKTP
1474 NW 189TH WAY APT 8
BEAVERTON, OR 97006-6928
Phone number:
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