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1457995292
EMILY BALLOU
PORTLAND, OR
NPI
1457995292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130221LPN)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
EMILY BALLOU LPN
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-914-7783
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Mailing Address
EMILY BALLOU LPN
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number:
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