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1700598927
STACEY MARIE MERMIGOS
PORTLAND, OR
NPI
1700598927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN719449)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
STACEY MARIE MERMIGOS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5300
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Mailing Address
STACEY MARIE MERMIGOS
7600 MONTGOMERY BLVD NE APT 1048
ALBUQUERQUE, NM 87109-1524
Phone number:
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