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1871011361
DOMINIQUE DEROSA
PORTLAND, OR
NPI
1871011361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201392570RN)
Enumeration Date
2017-09-05
Last Update Date
2017-09-05
Business Address
Miss DOMINIQUE DEROSA RN BSN
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
Miss DOMINIQUE DEROSA RN BSN
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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