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1366207771
ALEXANDER BRICHUK
SALEM, OR
NPI
1366207771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 10018096)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
ALEXANDER BRICHUK
875 OAK ST SE STE 4090
SALEM, OR 97301-3985
Phone number: 503-814-6387
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Mailing Address
ALEXANDER BRICHUK
2349 TEAKWOOD AVE NW
SALEM, OR 97304-1345
Phone number: 503-400-8145
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