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1003105602
JULIE LIDDICOAT
PORTLAND, OR
NPI
1003105602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: OR 081001795RN)
Enumeration Date
2011-04-04
Last Update Date
2011-04-04
Business Address
-- JULIE LIDDICOAT CHN
426 SW STARK ST 3RD FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3417
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Mailing Address
-- JULIE LIDDICOAT CHN
421 SW OAK ST STE. 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3663
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