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1902440738
TINA CAPUTO LMT
GRESHAM, OR
NPI
1902440738
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Entity Type
Organization
Authorized Contact
TINA CAPUTO
Lac
858-204-9661
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-11-05
Last Update Date
2022-01-21
Business Address
TINA CAPUTO LMT
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 858-204-9661
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Mailing Address
TINA CAPUTO LMT
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number:
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