NICOLE J BANGS

SALEM, OR
NPI1336242536
Former NameNICOLE J GALLOB
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA156470)
Enumeration Date2006-09-06
Last Update Date2014-02-13
Business Address
-- NICOLE J BANGS P.A.-C.
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
Mailing Address
-- NICOLE J BANGS P.A.-C.
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
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