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1285862938
GAIL WIEBE
CORVALLIS, OR
NPI
1285862938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200950078NP)
Enumeration Date
2009-07-01
Last Update Date
2015-06-24
Business Address
-- GAIL WIEBE PMHNP
673 NW JACKSON AVE
CORVALLIS, OR 97330-4832
Phone number: 541-230-1630
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Mailing Address
-- GAIL WIEBE PMHNP
673 NW JACKSON AVE
CORVALLIS, OR 97330-4832
Phone number: 541-230-1630
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