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1225150741
TERESA ANN MARTISAK
MEDFORD, OR
NPI
1225150741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: OR 086006602)
Enumeration Date
2007-04-04
Last Update Date
2012-12-04
Business Address
Mrs. TERESA ANN MARTISAK RN CDE
1698 E MCANDREWS RD SUITE 170
MEDFORD, OR 97504-5589
Phone number: 541-732-6957
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Mailing Address
Mrs. TERESA ANN MARTISAK RN CDE
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-6957
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