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1740328350
DONALD WAYNE FONTENOT
PORTLAND, OR
NPI
1740328350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR 093007179RN)
Enumeration Date
2007-02-03
Last Update Date
2007-07-08
Business Address
-- DONALD WAYNE FONTENOT RN
2230 SE OAK ST
PORTLAND, OR 97214-1636
Phone number: 503-704-3116
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Mailing Address
-- DONALD WAYNE FONTENOT RN
2230 SE OAK ST
PORTLAND, OR 97214-1636
Phone number: 503-704-3116
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