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1881393734
CAROLINE BACON
PORTLAND, OR
NPI
1881393734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
CAROLINE BACON
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3681
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Mailing Address
CAROLINE BACON
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number:
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