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1689913550
LAISVUNE SURVILAITE
PORTLAND, OR
NPI
1689913550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: OR 201243686RN)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
LAISVUNE SURVILAITE
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
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Mailing Address
LAISVUNE SURVILAITE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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