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1477199537
SHANE A MARX
INDEPENDENCE, OR
NPI
1477199537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
SHANE A MARX
6200 POPLAR LN
INDEPENDENCE, OR 97351-9659
Phone number: 503-999-3833
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Mailing Address
SHANE A MARX
6200 POPLAR LN
INDEPENDENCE, OR 97351-9659
Phone number: 503-999-3833
Copy
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