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1922243948
LARISA V KATERENCHUK
GRESHAM, OR
NPI
1922243948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200840254RN)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
LARISA V KATERENCHUK
417 NW BATTAGLIA AVE
GRESHAM, OR 97030-5260
Phone number: 971-998-5424
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Mailing Address
LARISA V KATERENCHUK
417 NW BATTAGLIA AVE
GRESHAM, OR 97030-5260
Phone number: 971-998-5424
Copy
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