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1245965623
STACI A ROBERTS
PENDLETON, OR
NPI
1245965623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 200842075RN)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
STACI A ROBERTS RN
46314 TIMINE WAY
PENDLETON, OR 97801-9417
Phone number: 541-966-9830
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Mailing Address
STACI A ROBERTS RN
PO BOX 160
PENDLETON, OR 97801-0160
Phone number: 541-966-9830
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