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1730821687
MILES FLETCHER
PORTLAND, OR
NPI
1730821687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
MILES FLETCHER
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 541-990-5956
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Mailing Address
MILES FLETCHER
4120 NE BEAUMONT ST
PORTLAND, OR 97212-2914
Phone number: 541-990-5956
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