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1194594820
MERVIN PADUA
PORTLAND, OR
NPI
1194594820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201910495)
Enumeration Date
2023-12-21
Last Update Date
2023-12-21
Business Address
MERVIN PADUA LPN
1827 SE 76TH AVE
PORTLAND, OR 97215-3522
Phone number: 503-961-3416
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Mailing Address
MERVIN PADUA LPN
1827 SE 76TH AVE
PORTLAND, OR 97215-3522
Phone number: 503-961-3416
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