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1083255541
KRISTI SOUZA
SALEM, OR
NPI
1083255541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
KRISTI SOUZA
2925 RYAN DR SE
SALEM, OR 97301-9687
Phone number: 541-905-7280
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Mailing Address
KRISTI SOUZA
1160 SCOTT CT
INDEPENDENCE, OR 97351-9668
Phone number: 541-905-7280
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