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1215209804
KELLY A WIGGINS
PORTLAND, OR
NPI
1215209804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201040251RN)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
-- KELLY A WIGGINS RN,BSN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-205-4349
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Mailing Address
-- KELLY A WIGGINS RN,BSN
2608 GRANT ST
VANCOUVER, WA 98660-2025
Phone number: 360-770-7221
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