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1366154569
MALLORY KING
PORTLAND, OR
NPI
1366154569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130139LPN)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
MALLORY KING
8643 NE BEECH ST
PORTLAND, OR 97220-5012
Phone number: 503-256-2151
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Mailing Address
MALLORY KING
2380 19TH ST
WEST LINN, OR 97068-4068
Phone number: 503-250-3356
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