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1124736764
SOPHIA KENNEN GIACOMELLI
PORTLAND, OR
NPI
1124736764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
Ms. SOPHIA KENNEN GIACOMELLI
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
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Mailing Address
Ms. SOPHIA KENNEN GIACOMELLI
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
Copy
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