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1063797991
STEPHANIE JOEL KANNA
PORTLAND, OR
NPI
1063797991
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Former Name
STEPHANIE STANLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
-- STEPHANIE JOEL KANNA BS
1232 NW 23RD AVE
PORTLAND, OR 97210-2906
Phone number: 503-227-3450
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Mailing Address
-- STEPHANIE JOEL KANNA BS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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