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1851943914
KELLIE GORMAN
PORTLAND, OR
NPI
1851943914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
KELLIE GORMAN
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 510-679-3545
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Mailing Address
KELLIE GORMAN
420 SE 109TH AVE
PORTLAND, OR 97216-3138
Phone number:
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