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1861532624
TRACY DELORES BUSKIRK
PORTLAND, OR
NPI
1861532624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OR 000000290cma)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- TRACY DELORES BUSKIRK cma
14815 SE DIVISION ST
PORTLAND, OR 97236-2336
Phone number: 503-761-7139
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Mailing Address
-- TRACY DELORES BUSKIRK cma
4020 SE 174TH AVE
PORTLAND, OR 97236-9352
Phone number: 503-661-7576
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