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1275645715
FRANCINE HELEN BOULLOSA
SALEM, OR
NPI
1275645715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00124)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Ms. FRANCINE HELEN BOULLOSA physician assistant
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-361-5400
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Mailing Address
Ms. FRANCINE HELEN BOULLOSA physician assistant
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 503-361-5400
Copy
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