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1952440364
TELIA NICOLE ANDERSON-GRANT
PORTLAND, OR
NPI
1952440364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-05
Last Update Date
2023-07-12
Business Address
TELIA NICOLE ANDERSON-GRANT non credential
12600 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-477-8208
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Mailing Address
TELIA NICOLE ANDERSON-GRANT non credential
847 NE WEBSTER ST
PORTLAND, OR 97211-3848
Phone number: 503-998-3946
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