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1396455135
LUIS MANUEL MACIEL SANTACRUZ
PORTLAND, OR
NPI
1396455135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
LUIS MANUEL MACIEL SANTACRUZ
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
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Mailing Address
LUIS MANUEL MACIEL SANTACRUZ
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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