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1942069778
TARA L MCCOY
PORTLAND, OR
NPI
1942069778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
TARA L MCCOY
1741 NW 24TH AVE
PORTLAND, OR 97210-2507
Phone number: 715-505-8800
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Mailing Address
TARA L MCCOY
835 N HUMBOLDT ST
PORTLAND, OR 97217-2507
Phone number: 715-505-8800
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