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1215011820
MARGUERITE MAUTNER BALLARD
WOODBURN, OR
NPI
1215011820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00267)
Enumeration Date
2006-10-24
Last Update Date
2015-09-11
Business Address
-- MARGUERITE MAUTNER BALLARD PA-C
2050 PROGRESS WAY
WOODBURN, OR 97071-9764
Phone number: 503-981-5348
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Mailing Address
-- MARGUERITE MAUTNER BALLARD PA-C
2050 PROGRESS WAY
WOODBURN, OR 97071-9764
Phone number: 503-981-5348
Copy
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