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1225278088
JAMES IRVIN
CLACKAMAS, OR
NPI
1225278088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OR 200811764CNA)
Enumeration Date
2009-03-05
Last Update Date
2009-03-05
Business Address
-- JAMES IRVIN
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
-- JAMES IRVIN
515 SE RENE AVE UNIT 3
GRESHAM, OR 97080-1375
Phone number: 503-489-1919
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