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1922717339
LUCAS ANTHONY MIRABITO
PORTLAND, OR
NPI
1922717339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 3598)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
Dr. LUCAS ANTHONY MIRABITO PhD
3710 SW US VETERANS HOSPITAL RD # P3STARS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Dr. LUCAS ANTHONY MIRABITO PhD
3710 SW US VETERANS HOSPITAL RD # P3STARS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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