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1003184714
KIERSTEN SPERRY
ROSEBURG, OR
NPI
1003184714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA195464)
Enumeration Date
2011-12-08
Last Update Date
2020-05-18
Business Address
KIERSTEN SPERRY
2282 NW TROOST ST STE 103
ROSEBURG, OR 97471-6072
Phone number: 541-672-4798
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Mailing Address
KIERSTEN SPERRY
393 N 100 E
PROVIDENCE, UT 84332-9829
Phone number: 801-833-2437
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