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1114781200
KATIE LUIS
PORTLAND, OR
NPI
1114781200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
KATIE LUIS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 541-419-6835
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Mailing Address
KATIE LUIS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 541-419-6835
Copy
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