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1114652369
AMANDA GILDERSLEEVE
STAYTON, OR
NPI
1114652369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202210764NP-PP)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
AMANDA GILDERSLEEVE NP-C
1095 N 1ST AVE
STAYTON, OR 97383-1203
Phone number: 503-767-3226
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Mailing Address
AMANDA GILDERSLEEVE NP-C
330 PINE ST SE
ALBANY, OR 97321-4628
Phone number: 971-246-9594
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