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1225197635
MOLLY AULTZ
CLACKAMAS, OR
NPI
1225197635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200250142NP-FNP)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
Mrs. MOLLY AULTZ FNP
9775 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR 97015-5721
Phone number: 503-654-8417
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Mailing Address
Mrs. MOLLY AULTZ FNP
PO BOX 864
MOLALLA, OR 97038-0864
Phone number: 503-829-9293
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