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1770075194
ELENA PANG
FOREST GROVE, OR
NPI
1770075194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
ELENA PANG ATC
2214 PACIFIC AVE # 164
FOREST GROVE, OR 97116-2448
Phone number: 971-312-8630
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Mailing Address
ELENA PANG ATC
2214 PACIFIC AVE # 164
FOREST GROVE, OR 97116-2448
Phone number:
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