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1417555871
KATY JANE HERNANDEZ
SALEM, OR
NPI
1417555871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 202204181NP-PP)
Enumeration Date
2020-10-16
Last Update Date
2022-05-10
Business Address
KATY JANE HERNANDEZ ARNP
1395 LIBERTY ST SE
SALEM, OR 97302-4276
Phone number: 503-399-2444
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Mailing Address
KATY JANE HERNANDEZ ARNP
1395 LIBERTY ST SE
SALEM, OR 97302-4276
Phone number: 503-399-2444
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