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1316307135
LEA MARIE LEAVITT
BEAVERTON, OR
NPI
1316307135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201500362LPN)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- LEA MARIE LEAVITT
4650 SW GRIFFITH DR
BEAVERTON, OR 97005-8719
Phone number: 503-684-8159
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Mailing Address
-- LEA MARIE LEAVITT
4650 SW GRIFFITH DR
BEAVERTON, OR 97005-8719
Phone number: 503-684-8159
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