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1902372576
AMANDA LARANE LEWIS
GRESHAM, OR
NPI
1902372576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR 2701088)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
MS. AMANDA LARANE LEWIS
912 NE KELLY AVE STE 100C
GRESHAM, OR 97030-5629
Phone number: 503-912-5503
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Mailing Address
MS. AMANDA LARANE LEWIS
912 NE KELLY AVE STE 100C
GRESHAM, OR 97030-5629
Phone number: 503-912-5503
Copy
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