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1275025389
SOPHIA MACLEAN
PORTLAND, OR
NPI
1275025389
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Other Name
VINCENT MACLEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
SOPHIA MACLEAN
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4690
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Mailing Address
SOPHIA MACLEAN
6525 SE 81ST AVE
PORTLAND, OR 97206-7130
Phone number:
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