VIVIAN ENYO DZATA

SPRINGFIELD, OR
NPI1023245024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  201602785NP-PP)
Enumeration Date2009-06-17
Last Update Date2016-07-25
Business Address
-- VIVIAN ENYO DZATA NP
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Mailing Address
-- VIVIAN ENYO DZATA NP
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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