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1295984920
CHARLES DWYER
PORTLAND, OR
NPI
1295984920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 099000230RN)
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
-- CHARLES DWYER rn
2810 SE 71ST AVENUE
PORTLAND, OR 97206-1127
Phone number: 503-771-8733
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Mailing Address
-- CHARLES DWYER rn
2810 SE 71ST AVE
PORTLAND, OR 97206-1127
Phone number: 503-771-8733
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