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1063544930
KATRINA ELLEN DAVIS
SALEM, OR
NPI
1063544930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 000028939N2PNPPP)
Enumeration Date
2007-03-09
Last Update Date
2023-03-07
Business Address
-- KATRINA ELLEN DAVIS CPNP
891 23RD ST NE
SALEM, OR 97301
Phone number: 503-364-2181
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Mailing Address
-- KATRINA ELLEN DAVIS CPNP
3269 LORIAN LN SE
SALEM, OR 97302-3225
Phone number: 503-585-4459
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