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1710094560
VAYAKONE PHILAVANH
PORTLAND, OR
NPI
1710094560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: WA DO00002172)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
Mrs. VAYAKONE PHILAVANH LDO
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 503-669-3995
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Mailing Address
Mrs. VAYAKONE PHILAVANH LDO
22298 NE FAILING ST
FAIRVIEW, OR 97024-8758
Phone number: 503-669-3995
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