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1336650357
WONDMIMU EDAO CHAKO
PORTLAND, OR
NPI
1336650357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200241818rn)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
WONDMIMU EDAO CHAKO
3708 SE 144TH AVENUE
PORTLAND, OR 97236
Phone number: 971-255-0029
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Mailing Address
WONDMIMU EDAO CHAKO
3708 SE 144TH AVE
PORTLAND, OR 97236-2731
Phone number: 971-255-0029
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