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1326364894
PRINCE ROLAND AGBONZE
PORTLAND, OR
NPI
1326364894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OR 374U00000x)
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
Mr. PRINCE ROLAND AGBONZE
2817 NE 156TH AVE
PORTLAND, OR 97230-5101
Phone number: 503-891-4266
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Mailing Address
Mr. PRINCE ROLAND AGBONZE
2817 NE 156TH AVE
PORTLAND, OR 97230-5101
Phone number: 503-891-4266
Copy
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