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1790832152
SANDRA CAROL VANCALCAR
PORTLAND, OR
NPI
1790832152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1006X Dietitian, Registered Nutrition, Metabolic
(Licence: WI 1299)
Enumeration Date
2007-01-05
Last Update Date
2014-09-25
Business Address
SANDRA CAROL VANCALCAR RD
840 SW GAINES ST
PORTLAND, OR 97239-2904
Phone number: 608-712-2723
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Mailing Address
SANDRA CAROL VANCALCAR RD
840 SW GAINES RD.
PORTLAND, OR 97239-0001
Phone number: 608-712-2723
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