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1386063766
GINA PARKS
PORTLAND, OR
NPI
1386063766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR 6365200)
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
-- GINA PARKS
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- GINA PARKS
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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