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1124809629
MARLENA BEATRICE STANFORD
REDMOND, OR
NPI
1124809629
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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
2023-10-10
Last Update Date
2023-10-10
Business Address
MARLENA BEATRICE STANFORD
211 NW LARCH AVE
REDMOND, OR 97756-1357
Phone number: 541-548-2164
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Mailing Address
MARLENA BEATRICE STANFORD
1021 E CASCADE AVE
SISTERS, OR 97759-9008
Phone number: 970-901-8575
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