JENNIFER MARIE PROVINCE

LA GRANDE, OR
NPI1003437617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  202007639NP-PP)
Enumeration Date2020-05-05
Last Update Date2020-09-02
Business Address
JENNIFER MARIE PROVINCE
1 UNIVERSITY BLVD
LA GRANDE, OR 97850-2807
Phone number: 541-962-3803
Mailing Address
JENNIFER MARIE PROVINCE
2011 4TH ST
LA GRANDE, OR 97850-2511
Phone number: 541-962-7808
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