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1093227548
TATYANA SHIYENKOVA
GRESHAM, OR
NPI
1093227548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0016288)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
TATYANA SHIYENKOVA
1555 NE DIVISION ST
GRESHAM, OR 97030-4271
Phone number: 503-666-9476
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Mailing Address
TATYANA SHIYENKOVA
8411 NE WEBSTER ST
PORTLAND, OR 97220-4648
Phone number: 503-256-9091
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