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1003239120
IVA JURIC
PORTLAND, OR
NPI
1003239120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 201608793NP-PP)
Enumeration Date
2014-01-24
Last Update Date
2017-11-06
Business Address
IVA JURIC
3181 SW SAM JACKSON PARK RD # CDW6
PORTLAND, OR 97239-3011
Phone number: 503-494-4808
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Mailing Address
IVA JURIC
3181 SW SAM JACKSON PARK RD # CDW6
PORTLAND, OR 97239-3011
Phone number: 503-494-4808
Copy
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