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1730768938
EVNICA I KOROTKIKH
PORTLAND, OR
NPI
1730768938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
EVNICA I KOROTKIKH
6428 SE JENNINGS AVE
PORTLAND, OR 97267-6317
Phone number: 360-936-3519
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Mailing Address
EVNICA I KOROTKIKH
6428 SE JENNINGS AVE
PORTLAND, OR 97267-6317
Phone number: 360-936-3519
Copy
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