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1598026791
LAWRENCE MALDONADO
PORTLAND, OR
NPI
1598026791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201150188NP)
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
-- LAWRENCE MALDONADO FNP
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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Mailing Address
-- LAWRENCE MALDONADO FNP
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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