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1821833906
LARA LYNN KOTELYANETS
PORTLAND, OR
NPI
1821833906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
LARA LYNN KOTELYANETS SRNA
3455 SW VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-8311
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Mailing Address
LARA LYNN KOTELYANETS SRNA
3455 SW VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-8311
Copy
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