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1164499463
SANDRA LEIGH KOSIK
CANBY, OR
NPI
1164499463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00850)
Enumeration Date
2006-03-06
Last Update Date
2012-12-26
Business Address
Ms. SANDRA LEIGH KOSIK PA
200 S HAZEL DELL WAY
CANBY, OR 97013-7829
Phone number: 503-263-9500
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Mailing Address
Ms. SANDRA LEIGH KOSIK PA
18465 S WINNIFRED AVE
MOLALLA, OR 97038-8847
Phone number: 503-319-5810
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