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1053302265
LAURENT E. O. AVONDSTONDT
PORTLAND, OR
NPI
1053302265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200350144NP)
Enumeration Date
2005-11-04
Last Update Date
2011-07-12
Business Address
-- LAURENT E. O. AVONDSTONDT NP
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- LAURENT E. O. AVONDSTONDT NP
PSC 482 BOX 1600
FPO, AP 96362-9998
Phone number: 315-643-7977
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