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1154145845
SAMANTHA LEE CANCILLA
PORTLAND, OR
NPI
1154145845
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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
2024-11-11
Last Update Date
2024-11-11
Business Address
SAMANTHA LEE CANCILLA
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
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Mailing Address
SAMANTHA LEE CANCILLA
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-7725
Copy
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