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1801100771
LAURA DALE FLEENER
PORTLAND, OR
NPI
1801100771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200430450lpn)
Enumeration Date
2010-08-03
Last Update Date
2010-08-03
Business Address
Ms. LAURA DALE FLEENER
5725 SW FLORIDA ST
PORTLAND, OR 97219-1219
Phone number: 503-764-9322
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Mailing Address
Ms. LAURA DALE FLEENER
5725 SW FLORIDA ST.
PORTLAND, OR 97219
Phone number: 503-764-9322
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