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1942683628
ALIA APPOLLO
PORTLAND, OR
NPI
1942683628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR 7482440)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- ALIA APPOLLO
1312 SW WASHINGTON
PORTLAND, OR 97205
Phone number: 503-535-1151
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Mailing Address
-- ALIA APPOLLO
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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