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1174660179
SUSAN HOMOLKA
EUGENE, OR
NPI
1174660179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 200350028NP)
Enumeration Date
2007-01-31
Last Update Date
2009-07-20
Business Address
-- SUSAN HOMOLKA ANP
1670 HIGH ST
EUGENE, OR 97401-4151
Phone number: 541-344-9411
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Mailing Address
-- SUSAN HOMOLKA ANP
3456 OLYMPIC ST
SPRINGFIELD, OR 97478-5574
Phone number: 541-729-7774
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