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1477182301
CONNIE GAN
PORTLAND, OR
NPI
1477182301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2021-03-25
Business Address
CONNIE GAN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8513
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Mailing Address
CONNIE GAN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number:
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