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1881274249
MICHELLE JEANNE BUNCKE
PORTLAND, OR
NPI
1881274249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR student)
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
MICHELLE JEANNE BUNCKE
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 111-111-1111
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Mailing Address
MICHELLE JEANNE BUNCKE
1033 SW GIBBS ST UNIT 302
PORTLAND, OR 97239-7327
Phone number: 503-680-0173
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