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1740574326
DEBORAH FANNING
PORTLAND, OR
NPI
1740574326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 201150048NP)
Enumeration Date
2011-06-01
Last Update Date
2017-01-24
Business Address
-- DEBORAH FANNING CPNP
700 SW CAMPUS DR
PORTLAND, OR 97239-3107
Phone number: 503-346-0640
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Mailing Address
-- DEBORAH FANNING CPNP
700 SW CAMPUS DR
PORTLAND, OR 97239-3107
Phone number: 503-346-0640
Copy
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