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1912544347
EFREN ALONSO CID
PORTLAND, OR
NPI
1912544347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-04
Last Update Date
2020-05-04
Business Address
EFREN ALONSO CID
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 971-998-9512
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Mailing Address
EFREN ALONSO CID
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 971-998-9512
Copy
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