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1841017910
FELEKE FANTA DOKO
PORTLAND, OR
NPI
1841017910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OR 201400768CNA)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
FELEKE FANTA DOKO
16411 NE OREGON ST
PORTLAND, OR 97230-5857
Phone number: 971-279-5420
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Mailing Address
FELEKE FANTA DOKO
16411 NE OREGON ST
PORTLAND, OR 97230-5857
Phone number: 971-279-5420
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