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Individual

BURLEENA ROGENE SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STUDENT

Contact information

Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 352-7225
Mailing address
21520 NW FRANSON WAY APT 1304, HILLSBORO, OR 97006-6075
(951) 741-5307

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OR

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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