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1518447119
AMANDA NICOLE CANTU
PORTLAND, OR
NPI
1518447119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201709140LPN)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
AMANDA NICOLE CANTU
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
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Mailing Address
AMANDA NICOLE CANTU
232 NW 6TH AVENUE ATTN: CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681
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