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1932977964
EBONY SKYE FENN
PORTLAND, OR
NPI
1932977964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201394683LPN)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
EBONY SKYE FENN LPN
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
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Mailing Address
EBONY SKYE FENN LPN
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number:
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