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1821121633
LUCILLE CARTER
PORTLAND, OR
NPI
1821121633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: OR 092003417LPN)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- LUCILLE CARTER
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- LUCILLE CARTER
2461 NE 51ST AVE
PORTLAND, OR 97213-2519
Phone number:
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