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1902949647
LINDA ANN PHELAN
PORTLAND, OR
NPI
1902949647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 151)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
LINDA ANN PHELAN RD,CSR,LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3761
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Mailing Address
LINDA ANN PHELAN RD,CSR,LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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