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1457404758
KANDICE SUE BOWMAN
PORTLAND, OR
NPI
1457404758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 200150120NP)
Enumeration Date
2007-01-19
Last Update Date
2009-06-04
Business Address
-- KANDICE SUE BOWMAN PNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-5604
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Mailing Address
-- KANDICE SUE BOWMAN PNP
3181 SW SAM JACKSON PARK RD MAIL CODE: PV01
PORTLAND, OR 97239-3011
Phone number: 503-494-5604
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