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1386803682
LARA M KNUDSEN
SALEM, OR
NPI
1386803682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR 155238)
Enumeration Date
2008-06-03
Last Update Date
2013-03-19
Business Address
-- LARA M KNUDSEN MD
4744 LIBERTY RD S STE 120
SALEM, OR 97302-5182
Phone number: 971-599-1002
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Mailing Address
-- LARA M KNUDSEN MD
4744 LIBERTY RD S STE 120
SALEM, OR 97302-5182
Phone number: 971-599-1002
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