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1326281346
GRACE JOHNSON ETUKUDO
CLACKAMAS, OR
NPI
1326281346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OR 200612655CNA)
Enumeration Date
2009-04-07
Last Update Date
2009-04-07
Business Address
-- GRACE JOHNSON ETUKUDO
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-9062
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Mailing Address
-- GRACE JOHNSON ETUKUDO
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-9062
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