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1174525992
LISA ANN CORNELIUS
CORVALLIS, OR
NPI
1174525992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: OR DP00209)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
Dr. LISA ANN CORNELIUS DPM
3640 NW SAMARITAN DR
CORVALLIS, OR 97330-3784
Phone number: 541-757-7100
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Mailing Address
Dr. LISA ANN CORNELIUS DPM
3640 NW SAMARITAN DR
CORVALLIS, OR 97330-3784
Phone number: 541-757-7100
Copy
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