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1740753425
NICHOLAS EDWARD BUEKEA
PORTLAND, OR
NPI
1740753425
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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
2019-01-06
Last Update Date
2019-01-08
Business Address
NICHOLAS EDWARD BUEKEA
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
NICHOLAS EDWARD BUEKEA
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Copy
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