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1487266201
DAVID QUINLIN CORNWELL
PORTLAND, OR
NPI
1487266201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
Mr. DAVID QUINLIN CORNWELL
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
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Mailing Address
Mr. DAVID QUINLIN CORNWELL
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
Copy
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