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1912722331
FELICIA GWYN
GRESHAM, OR
NPI
1912722331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
(Licence: OR BAP-E-10248793)
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
FELICIA GWYN CAE, LE
718 N MAIN AVE
GRESHAM, OR 97030-7229
Phone number: 503-710-8333
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Mailing Address
FELICIA GWYN CAE, LE
29320 SE WHEELER RD
BORING, OR 97009-8428
Phone number: 503-621-8995
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