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1063485423
JENNIFER L MICEK
CORVALLIS, OR
NPI
1063485423
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Other Name
JENNIFER NITZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO25970)
Enumeration Date
2006-02-08
Last Update Date
2015-08-04
Business Address
JENNIFER L MICEK DO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
JENNIFER L MICEK DO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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