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1801555396
JUAN JOSE VERA
PORTLAND, OR
NPI
1801555396
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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
2021-12-11
Last Update Date
2021-12-11
Business Address
JUAN JOSE VERA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
JUAN JOSE VERA
716 SW CHELTENHAM ST
PORTLAND, OR 97239-2604
Phone number: 707-816-6371
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