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1366104184
DAVID EDWARD VENZOR
CLACKAMAS, OR
NPI
1366104184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-08
Last Update Date
2024-01-23
Business Address
DAVID EDWARD VENZOR
8645 SE SUNNYBROOK BLVD # 200
CLACKAMAS, OR 97015-6841
Phone number: 503-659-1694
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Mailing Address
DAVID EDWARD VENZOR
3120 NE US GRANT PL
PORTLAND, OR 97212-5141
Phone number:
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