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1023616281
ANFISA BAIANDUROVA
PORTLAND, OR
NPI
1023616281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR PG199228)
Enumeration Date
2020-10-10
Last Update Date
2020-10-10
Business Address
Mrs. ANFISA BAIANDUROVA MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-703-4967
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Mailing Address
Mrs. ANFISA BAIANDUROVA MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-703-4967
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