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1023027877
LARRY LEE BARDELL
SALEM, OR
NPI
1023027877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR 077038453N6 PMHNP-PP)
Enumeration Date
2006-08-07
Last Update Date
2023-03-07
Business Address
Mr. LARRY LEE BARDELL MN, PMHNP
1660 OAK ST SE
SALEM, OR 97301-6942
Phone number: 503-316-8817
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Mailing Address
Mr. LARRY LEE BARDELL MN, PMHNP
1708 NW SPRINGHILL DR
ALBANY, OR 97321-1587
Phone number: 541-928-0747
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