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1063179703
SHAUNA FORRESTER
TIGARD, OR
NPI
1063179703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 202002697LPN)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
SHAUNA FORRESTER LPN
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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Mailing Address
SHAUNA FORRESTER LPN
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
Copy
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