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1366430670
DEBORAH J VENCILL
BAKER CITY, OR
NPI
1366430670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 079042283N1)
Enumeration Date
2005-10-11
Last Update Date
2012-09-18
Business Address
Mrs. DEBORAH J VENCILL NP
3950 17TH ST SUITE A
BAKER CITY, OR 97814-1300
Phone number: 541-523-1001
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Mailing Address
Mrs. DEBORAH J VENCILL NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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