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1164112827
KRISTYN RENEE PROCKISH
BEND, OR
NPI
1164112827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 10008017)
Enumeration Date
2023-05-08
Last Update Date
2024-09-03
Business Address
KRISTYN RENEE PROCKISH PMHNP
62930 O B RILEY RD STE 200
BEND, OR 97703-9459
Phone number: 541-330-1919
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Mailing Address
KRISTYN RENEE PROCKISH PMHNP
399 E 10TH AVE
EUGENE, OR 97401-3380
Phone number:
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