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1003790247
MARK PUSUNG
PORTLAND, OR
NPI
1003790247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-08-01
Last Update Date
2025-08-01
Business Address
MARK PUSUNG
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
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Mailing Address
MARK PUSUNG
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
Copy
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