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1831879220
GRACE CLARK
PORTLAND, OR
NPI
1831879220
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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
2023-07-20
Last Update Date
2023-07-20
Business Address
GRACE CLARK
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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Mailing Address
GRACE CLARK
5302 E MAIN ST APT 253
HILLSBORO, OR 97123-6418
Phone number: 575-317-9621
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