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1598147696
SHANE DWAYNE MURRY
PORTLAND, OR
NPI
1598147696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OR 201310126CNA)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- SHANE DWAYNE MURRY
8728 N WILBUR AVE
PORTLAND, OR 97217-7032
Phone number: 541-220-3672
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Mailing Address
-- SHANE DWAYNE MURRY
8728 N WILBUR AVE
PORTLAND, OR 97217-7032
Phone number: 541-220-3672
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