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1972385458
MADDOX ROSE LILJA
PORTLAND, OR
NPI
1972385458
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Former Name
MADELEINE LILJA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
MADDOX ROSE LILJA
4729 SE 75TH AVE
PORTLAND, OR 97206-4351
Phone number: 503-788-1680
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Mailing Address
MADDOX ROSE LILJA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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