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NIK THANASOUK

Contractor

NPI: 1316618044Individual

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

Contact & Hours

Address
13636 SE CALLAHAN RD
HAPPY VALLEY, OR 97086

Quick Facts

NPI
1316618044
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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