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1851880215
IVANA ANTO JUNGIC
PORTLAND, OR
NPI
1851880215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
IVANA ANTO JUNGIC
3807 NE MLK BLVD
PORTLAND, OR 97212-1114
Phone number: 503-816-6576
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Mailing Address
IVANA ANTO JUNGIC
3807 NE MLK BLVD
PORTLAND, OR 97212-1114
Phone number:
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