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1356954069
GEORGIA LONG
PORTLAND, OR
NPI
1356954069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
GEORGIA LONG
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-284-4249
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Mailing Address
GEORGIA LONG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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