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1003030057
MICHAEL R COON
PORTLAND, OR
NPI
1003030057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 084060797LPN)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- MICHAEL R COON LPN
808 SW ALDER ST SUITE 300
PORTLAND, OR 97205-3133
Phone number: 503-226-2203
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Mailing Address
-- MICHAEL R COON LPN
252 NE KANE DR APT 19
GRESHAM, OR 97030-1515
Phone number: 971-223-5777
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