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1386008514
ANDREA SUSTAITA
PORTLAND, OR
NPI
1386008514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201404960RN)
Enumeration Date
2016-04-13
Last Update Date
2016-04-13
Business Address
-- ANDREA SUSTAITA
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
-- ANDREA SUSTAITA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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