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1932522166
DEFFO MEBRAT
GRESHAM, OR
NPI
1932522166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200740288)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
-- DEFFO MEBRAT
135 NW LINNEMAN AVE
GRESHAM, OR 97030-6248
Phone number: 971-678-0443
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Mailing Address
-- DEFFO MEBRAT
135 NW LINNEMAN AVE
GRESHAM, OR 97030-6248
Phone number: 971-678-0443
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