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1023183167
HEALTH PRACTITIONER CLINIC LLC
CANBY, OR
NPI
1023183167
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Entity Type
Organization
Authorized Contact
BETTE GAY SEAGREN
Owner
503-263-6611
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 000037573N1)
Enumeration Date
2006-11-22
Last Update Date
2007-11-01
Business Address
HEALTH PRACTITIONER CLINIC LLC
143 NW 4TH AVE
CANBY, OR 97013
Phone number: 503-263-6611
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Mailing Address
HEALTH PRACTITIONER CLINIC LLC
143 NW 4TH AVE
CANBY, OR 97013
Phone number: 503-263-6611
Copy
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