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1992000277
MARCO JAN MADIAN
PORTLAND, OR
NPI
1992000277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: OR 15569)
Enumeration Date
2011-01-19
Last Update Date
2011-01-19
Business Address
-- MARCO JAN MADIAN LMT
2442 SE 101ST AVE STE 206
PORTLAND, OR 97216-3060
Phone number: 503-816-4477
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Mailing Address
-- MARCO JAN MADIAN LMT
PO BOX 12069
PORTLAND, OR 97212-0069
Phone number: 503-816-4477
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