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1619636388
JASUDHA RANABHAT
MILWAUKIE, OR
NPI
1619636388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: OR 202112438NP-PP)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
JASUDHA RANABHAT NP
12045 SE STANLEY AVE
MILWAUKIE, OR 97222-2938
Phone number: 503-659-2323
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Mailing Address
JASUDHA RANABHAT NP
16442 SW 132ND TER
TIGARD, OR 97224-3080
Phone number: 503-473-6975
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