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1942559877
MARTHA MELANIE AMANDA COLE
VANCOUVER, WA
NPI
1942559877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
Miss MARTHA MELANIE AMANDA COLE
4710 PLOMONDON ST APT 104
VANCOUVER, WA 98661-6188
Phone number: 503-995-8947
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Mailing Address
Miss MARTHA MELANIE AMANDA COLE
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
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