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1942818216
LISA DARYA SHOSTAK
PORTLAND, OR
NPI
1942818216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-22
Last Update Date
2021-09-13
Business Address
LISA DARYA SHOSTAK
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 818-241-6780
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Mailing Address
LISA DARYA SHOSTAK
7800 SW BARBUR BLVD BLDG 2
PORTLAND, OR 97219-2823
Phone number: 818-241-6780
Copy
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