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1033707708
MONELLE LARISSA BURRUS
BEND, OR
NPI
1033707708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OR 202100185NP-PP)
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
MONELLE LARISSA BURRUS NP
1860 NE 4TH ST
BEND, OR 97701-3822
Phone number: 541-728-8262
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Mailing Address
MONELLE LARISSA BURRUS NP
61528 SE LORENZO DR
BEND, OR 97702-3765
Phone number: 541-728-8262
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