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1235653122
GRACE ANNE MIKOLASKI
PORTLAND, OR
NPI
1235653122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201705198RN)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
GRACE ANNE MIKOLASKI RN
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1151
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Mailing Address
GRACE ANNE MIKOLASKI RN
DE PAUL TREATMENT CENTER PO BOX 3007
PORTLAND, OR 97208
Phone number:
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