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1427486505
WENDY NOELLE WAN
SALEM, OR
NPI
1427486505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201393325NP-PP)
Enumeration Date
2013-10-28
Last Update Date
2016-02-15
Business Address
-- WENDY NOELLE WAN PMHNP
1520 PLAZA ST NW
SALEM, OR 97304-4658
Phone number: 503-585-3012
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Mailing Address
-- WENDY NOELLE WAN PMHNP
1855 SAGINAW ST S
SALEM, OR 97302-5233
Phone number: 503-551-0386
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