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1861950453
MARIO DIXON
PORTLAND, OR
NPI
1861950453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-03-04
Last Update Date
2019-05-07
Business Address
MARIO DIXON
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
MARIO DIXON
PO BOX 8459
PORTLAND, OR 97207
Phone number: 503-238-0769
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