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1861075764
ELAINE PRENDIVILLE
PORTLAND, OR
NPI
1861075764
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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
2021-04-29
Last Update Date
2021-04-29
Business Address
ELAINE PRENDIVILLE Medical Student
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
ELAINE PRENDIVILLE Medical Student
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
Copy
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