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1316429608
KRISTINA VONGSA
PORTLAND, OR
NPI
1316429608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201805342RN)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
KRISTINA VONGSA
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1173
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Mailing Address
KRISTINA VONGSA
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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