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1922376557
JACOB ANDRE MCLAIN
PORTLAND, OR
NPI
1922376557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 201394848CRNA)
Enumeration Date
2011-12-10
Last Update Date
2014-01-24
Business Address
Mr. JACOB ANDRE MCLAIN CRNA
3736 SE CORA ST
PORTLAND, OR 97202-3238
Phone number: 503-756-7070
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Mailing Address
Mr. JACOB ANDRE MCLAIN CRNA
3736 SE CORA ST
PORTLAND, OR 97202-3238
Phone number: 503-756-7070
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