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1578108940
AMY GROULX
PORTLAND, OR
NPI
1578108940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
Mrs. AMY GROULX
5506 SE MITCHELL ST
PORTLAND, OR 97206
Phone number: 503-774-9512
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Mailing Address
Mrs. AMY GROULX
5506 SE MITCHELL ST
PORTLAND, OR 97206-4844
Phone number: 503-774-9512
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