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1164011599
AMANDA DANIELS
PORTLAND, OR
NPI
1164011599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 202008930LPN)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
AMANDA DANIELS LPN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
AMANDA DANIELS LPN
1055 CAPITOL ST NE APT 202
SALEM, OR 97301-1265
Phone number: 503-569-3379
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