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1013949676
JO ANN G. BERENBACH
ROSEBURG, OR
NPI
1013949676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 000030459N6)
Enumeration Date
2006-07-06
Last Update Date
2007-07-17
Business Address
Ms. JO ANN G. BERENBACH PMHNP
913 NW GARDEN VALLEY BLVD BUILDING 2 MHC
ROSEBURG, OR 97470-6523
Phone number: 541-440-1000
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Mailing Address
Ms. JO ANN G. BERENBACH PMHNP
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470-6523
Phone number: 541-440-1000
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