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1447517008
NAN NELSON WAGNER
PORTLAND, OR
NPI
1447517008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: OR RC00619)
Enumeration Date
2012-04-19
Last Update Date
2012-04-19
Business Address
-- NAN NELSON WAGNER RRT
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-331-6185
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Mailing Address
-- NAN NELSON WAGNER RRT
9617 SW 2ND AVE
PORTLAND, OR 97219-6503
Phone number: 503-799-1463
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