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1487925731
AMANDA F LOUCKS
PORTLAND, OR
NPI
1487925731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130599LPN)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
AMANDA F LOUCKS LPN
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
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Mailing Address
AMANDA F LOUCKS LPN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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