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1275825499
MIRRA LEAH NERENBERG
PORTLAND, OR
NPI
1275825499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: OR DEM-LD-10140879)
Enumeration Date
2011-05-05
Last Update Date
2017-11-09
Business Address
MIRRA LEAH NERENBERG LDM,CPM, DEM
1016 SE 12TH AVE
PORTLAND, OR 97214
Phone number: 503-432-7379
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Mailing Address
MIRRA LEAH NERENBERG LDM,CPM, DEM
3927 SE 64TH AVE
PORTLAND, OR 97206
Phone number: 503-432-7379
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