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1548749088
BROOKE LAUREN BONAWITZ
PORTLAND, OR
NPI
1548749088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130185LPN)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
BROOKE LAUREN BONAWITZ LPN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
BROOKE LAUREN BONAWITZ LPN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number:
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