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Licensed Practical Nurse

NPI: 1972479731Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

201708692LPN(OR)

Contact & Hours

Address: 11909 SE STANLEY AVE
MILWAUKIE, OR 97222
Phone: (971) 533-9390

Quick Facts

NPI: 1972479731
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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