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1396250122
SARON THERESA SUFUENTES
PORTLAND, OR
NPI
1396250122
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Former Name
SARON THERSA BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
Mrs. SARON THERESA SUFUENTES PA-C
578 NW MARLBOROUGH AVE
PORTLAND, OR 97210-3104
Phone number: 503-481-9681
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Mailing Address
Mrs. SARON THERESA SUFUENTES PA-C
578 NW MARLBOROUGH AVE
PORTLAND, OR 97210-3104
Phone number: 503-481-9681
Copy
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