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1437736105
MALLIKA LAL
PORTLAND, OR
NPI
1437736105
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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 PG204792)
Enumeration Date
2021-03-26
Last Update Date
2021-10-08
Business Address
MALLIKA LAL
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
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Mailing Address
MALLIKA LAL
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
Copy
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