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1861999534
LACEY LEA HARTER
PORTLAND, OR
NPI
1861999534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 10189125)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
LACEY LEA HARTER RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6560
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Mailing Address
LACEY LEA HARTER RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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