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1508212283
SODASAVANH JOY KHAMSOUKTHAVONG
PORTLAND, OR
NPI
1508212283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: OR 200570006CNS)
Enumeration Date
2016-05-11
Last Update Date
2018-12-21
Business Address
SODASAVANH JOY KHAMSOUKTHAVONG
501 N GRAHAM ST STE 220
PORTLAND, OR 97227-2014
Phone number: 503-413-4710
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Mailing Address
SODASAVANH JOY KHAMSOUKTHAVONG
501 N GRAHAM ST STE 220
PORTLAND, OR 97227-2014
Phone number: 503-413-4710
Copy
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