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1366089435
KANDICE VINSON
BEAVERTON, OR
NPI
1366089435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10141419)
Enumeration Date
2019-12-07
Last Update Date
2019-12-07
Business Address
KANDICE VINSON ATC
9923 SW ARCTIC DR
BEAVERTON, OR 97005-4194
Phone number: 503-646-8482
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Mailing Address
KANDICE VINSON ATC
5230 SE OAKLAND AVE
MILWAUKIE, OR 97267-5019
Phone number: 503-388-8691
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