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1437358736
KIM LEANNE LIBONATI
PORTLAND, OR
NPI
1437358736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: OR 200750003NP)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
-- KIM LEANNE LIBONATI NNP
2801 N GANTENBEIN AVE NICU
PORTLAND, OR 97227-1623
Phone number: 503-413-2304
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Mailing Address
-- KIM LEANNE LIBONATI NNP
2801 N GANTENBEIN AVE NICU
PORTLAND, OR 97227-1623
Phone number: 503-413-2304
Copy
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