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1245396720
LUCINDA ANN BALLAS
LAKE OSWEGO, OR
NPI
1245396720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 079034619N3 ANP-PP)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Ms. LUCINDA ANN BALLAS anp
17704 JEAN WAY 105
LAKE OSWEGO, OR 97035-5497
Phone number: 503-675-6776
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Mailing Address
Ms. LUCINDA ANN BALLAS anp
770 NE 31ST PL
CANBY, OR 97013-2104
Phone number: 503-651-3322
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