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1053353649
MARGE L DETTWILER
SALEM, OR
NPI
1053353649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 000027830N2)
Enumeration Date
2006-06-11
Last Update Date
2011-10-26
Business Address
-- MARGE L DETTWILER PNP
2395 CENTER ST NE
SALEM, OR 97301-4464
Phone number: 503-364-0227
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Mailing Address
-- MARGE L DETTWILER PNP
2395 CENTER ST NE
SALEM, OR 97301-4464
Phone number: 503-364-0227
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