JONATHAN EDWARD MONDRAGON

PORTLAND, OR
NPI1730436924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201130027LPN)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- JONATHAN EDWARD MONDRAGON LPN
16141 E. BURNSIDE ST.
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
Mailing Address
-- JONATHAN EDWARD MONDRAGON LPN
16141 E BURNSIDE ST
PORTLAND, OR 97233-3519
Phone number: 503-252-3949
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