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1033270384
MARDI J HENKE
CORVALLIS, OR
NPI
1033270384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 094000314RN)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- MARDI J HENKE RN
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- MARDI J HENKE RN
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-766-6835
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