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1487216669
CAROLYN D CONCIA NP PROF CORP
PORTLAND, OR
NPI
1487216669
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Entity Type
Organization
Authorized Contact
CAROLYN D CONCIA
Owner
971-294-0560
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
CAROLYN D CONCIA NP PROF CORP
2308 NW STIMPSON LN
PORTLAND, OR 97229-8562
Phone number: 971-294-0560
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Mailing Address
CAROLYN D CONCIA NP PROF CORP
2308 NW STIMPSON LN
PORTLAND, OR 97229-8562
Phone number: 971-294-0560
Copy
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