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1003583469
IMOGEN KANE
VANCOUVER, WA
NPI
1003583469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
IMOGEN KANE
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-418-6001
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Mailing Address
IMOGEN KANE
1234 NW 25TH AVE
PORTLAND, OR 97210-2423
Phone number:
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