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1952662439
ELLISHA LEE
PORTLAND, OR
NPI
1952662439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 10166)
Enumeration Date
2012-05-31
Last Update Date
2012-05-31
Business Address
-- ELLISHA LEE RPH
11030 SW CAPITOL HWY
PORTLAND, OR 97219-8653
Phone number: 503-244-3504
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Mailing Address
-- ELLISHA LEE RPH
11030 SW CAPITOL HWY
PORTLAND, OR 97219-8653
Phone number: 503-244-3504
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