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1275711830
ANNIE MAE LEGARD
PORTLAND, OR
NPI
1275711830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01328)
Enumeration Date
2008-02-06
Last Update Date
2019-12-13
Business Address
ANNIE MAE LEGARD PA-C
511 SW 10TH AVE SUITE 1301
PORTLAND, OR 97205-2732
Phone number: 503-228-0155
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Mailing Address
ANNIE MAE LEGARD PA-C
511 SW 10TH AVE SUITE 1301
PORTLAND, OR 97205-2732
Phone number: 503-228-0155
Copy
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