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1083859219
MODJGAN LADAN KEYGHOBADI
PORTLAND, OR
NPI
1083859219
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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 LL18073)
Enumeration Date
2008-12-02
Last Update Date
2008-12-02
Business Address
-- MODJGAN LADAN KEYGHOBADI M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
-- MODJGAN LADAN KEYGHOBADI M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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