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1124241054
DELLA FOGERSON
NEWPORT, OR
NPI
1124241054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200750110NP)
Enumeration Date
2007-04-10
Last Update Date
2007-11-19
Business Address
-- DELLA FOGERSON PNP
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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Mailing Address
-- DELLA FOGERSON PNP
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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