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1861736902
ASEM ALQUDAH
PORTLAND, OR
NPI
1861736902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OR FE160154)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- ASEM ALQUDAH MD
4730 SW LURADEL ST APT 6
PORTLAND, OR 97219-6841
Phone number: 971-533-0307
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Mailing Address
-- ASEM ALQUDAH MD
4730 SW LURADEL ST APT 6
PORTLAND, OR 97219-6841
Phone number: 971-533-0307
Copy
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