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1205096765
SHONNA RAE GOLDMANN
PORTLAND, OR
NPI
1205096765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: OR 1065169)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
SHONNA RAE GOLDMANN
10220 SW GREENBURG RD LINCOLN CENTER 3, SUITE 201
PORTLAND, OR 97223-5503
Phone number: 888-757-3422
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Mailing Address
SHONNA RAE GOLDMANN
502 S 11TH ST
BISMARCK, ND 58504-5831
Phone number: 971-235-1828
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