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1053806901
CHANNING DANAE PRIBEAGU
PORTLAND, OR
NPI
1053806901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201802933RN)
Enumeration Date
2018-06-23
Last Update Date
2018-06-23
Business Address
CHANNING DANAE PRIBEAGU
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
CHANNING DANAE PRIBEAGU
3415 SE POWELL BLVD
PORTLAND, OR 97202-3396
Phone number: 503-234-9591
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