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1316909187
ALISSA PAULA CRAFT
CORVALLIS, OR
NPI
1316909187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: AZ 2879)
Enumeration Date
2006-04-05
Last Update Date
2009-05-24
Business Address
-- ALISSA PAULA CRAFT DO
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-4906
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Mailing Address
-- ALISSA PAULA CRAFT DO
136 SW WASHINGTON AVE APT 402
CORVALLIS, OR 97333-4877
Phone number: 602-770-8967
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