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1689727885
MAXINE MAY FOOKSON
PORTLAND, OR
NPI
1689727885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 087006458N2)
Enumeration Date
2007-01-19
Last Update Date
2009-01-06
Business Address
-- MAXINE MAY FOOKSON PNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
-- MAXINE MAY FOOKSON PNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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