STACY LEILANI WHITAKER

LA GRANDE, OR
NPI1316064512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MT  11323)
Enumeration Date2007-03-23
Last Update Date2010-01-22
Business Address
-- STACY LEILANI WHITAKER DO
900 SUNSET DR
LA GRANDE, OR 97850-1362
Phone number: 541-963-1883
Mailing Address
-- STACY LEILANI WHITAKER DO
PO BOX 3290
LA GRANDE, OR 97850-7290
Phone number: 541-963-1883
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