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1487750709
KENNETH B. LEASE
HILLSBORO, OR
NPI
1487750709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR OR 079043505N3)
Enumeration Date
2006-09-15
Last Update Date
2007-07-15
Business Address
-- KENNETH B. LEASE NP
19400 NW EVERGREEN PKWY
HILLSBORO, OR 97124-7031
Phone number: 503-645-2762
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Mailing Address
-- KENNETH B. LEASE NP
19400 NW EVERGREEN PKWY
HILLSBORO, OR 97124-7031
Phone number:
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