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1245894336
LEA CARPENTER
LA GRANDE, OR
NPI
1245894336
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Former Name
LEA FORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 201902791NP-PP)
Enumeration Date
2019-04-24
Last Update Date
2020-11-19
Business Address
LEA CARPENTER NP-C
909 ADAMS AVE
LA GRANDE, OR 97850-2570
Phone number: 509-885-8193
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Mailing Address
LEA CARPENTER NP-C
PO BOX 3290
LA GRANDE, OR 97850-7290
Phone number: 541-963-5130
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