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1689023368
NICOLE SMITH
PORTLAND, OR
NPI
1689023368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201130652LPN)
Enumeration Date
2016-06-03
Last Update Date
2019-01-29
Business Address
NICOLE SMITH LPN
6601 NE 78TH CT STE A3
PORTLAND, OR 97218-2823
Phone number: 503-252-3949
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Mailing Address
NICOLE SMITH LPN
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-425-5378
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