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1275364713
AZEB LIBASE
CLACKAMAS, OR
NPI
1275364713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 201705623RN)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
AZEB LIBASE RN
14288 SE 122ND AVE
CLACKAMAS, OR 97015-9224
Phone number: 971-471-1339
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Mailing Address
AZEB LIBASE RN
10125 SE 147TH AVE
HAPPY VALLEY, OR 97086-6065
Phone number: 971-471-1339
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