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1912565425
NYRVA AUGUSTIN
PORTLAND, OR
NPI
1912565425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201508401LPN)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
NYRVA AUGUSTIN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-239-8101
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Mailing Address
NYRVA AUGUSTIN
424 NE 22ND AVE
PORTLAND, OR 97232-2809
Phone number:
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