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1033754452
SAMANTHA JOANN DEFREESE
PORTLAND, OR
NPI
1033754452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
Ms. SAMANTHA JOANN DEFREESE
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-5121
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Mailing Address
Ms. SAMANTHA JOANN DEFREESE
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number:
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