NIKKI BANGGO CHAN

CORVALLIS, OR
NPI1053101402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PI-00144)
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
NIKKI BANGGO CHAN
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331-8656
Phone number: 541-737-3424
Mailing Address
NIKKI BANGGO CHAN
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331-8656
Phone number:
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