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1215319280
HERSELL ALLEY
PORTLAND, OR
NPI
1215319280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
Mr. HERSELL ALLEY
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
Mr. HERSELL ALLEY
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: 503-535-1151
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