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1992379820
STACY VANN
PORTLAND, OR
NPI
1992379820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201700628LPN)
Enumeration Date
2021-05-15
Last Update Date
2021-05-15
Business Address
STACY VANN LPN
9385 SW MAPLEWOOD DR APT O172
PORTLAND, OR 97223-6169
Phone number: 503-475-8310
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Mailing Address
STACY VANN LPN
9385 SW MAPLEWOOD DR APT O172
PORTLAND, OR 97223-6169
Phone number: 503-475-8310
Copy
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