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1184773319
SANDRA ANA ANTONOVIC
TIGARD, OR
NPI
1184773319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD23792)
Enumeration Date
2007-01-09
Last Update Date
2020-10-13
Business Address
Dr. SANDRA ANA ANTONOVIC M.D.
12442 SW SCHOLLS FERRY RD SUITE 205
TIGARD, OR 97223-0804
Phone number: 503-216-9140
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Mailing Address
Dr. SANDRA ANA ANTONOVIC M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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