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Individual

MS. GRACE ABWENZOH NTUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6111 SW LYNMAR PL, ALOHA, OR 97078-8697
(832) 240-3242
Mailing address
6111 SW LYNMAR PL, ALOHA, OR 97078-8697
(832) 240-3242

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202103694RN
OR

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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