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1669017513
SHAYLENE TAMARA WAGGONER
GRESHAM, OR
NPI
1669017513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201905089RN)
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
SHAYLENE TAMARA WAGGONER BSN, RN
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-6575
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Mailing Address
SHAYLENE TAMARA WAGGONER BSN, RN
12207 NE 116TH ST
VANCOUVER, WA 98682-2040
Phone number: 480-268-3933
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