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1750054276
AUDREY COLVIN
PORTLAND, OR
NPI
1750054276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
AUDREY COLVIN
18766 SE STARK ST
PORTLAND, OR 97233-5330
Phone number: 503-243-2236
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Mailing Address
AUDREY COLVIN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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