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1285153932
KOREY VANCE HAM
BAKER CITY, OR
NPI
1285153932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201707560NP-PP)
Enumeration Date
2017-09-13
Last Update Date
2022-07-21
Business Address
Mr. KOREY VANCE HAM MN, FNP-C, APRN
1705 MAIN ST APT 801
BAKER CITY, OR 97814-3468
Phone number: 541-403-1132
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Mailing Address
Mr. KOREY VANCE HAM MN, FNP-C, APRN
1705 MAIN ST APT 801
BAKER CITY, OR 97814-3468
Phone number: 541-403-1132
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