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1437155504
ANGELINA LARA
GRANTS PASS, OR
NPI
1437155504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 091007741N1)
Enumeration Date
2005-06-23
Last Update Date
2007-07-08
Business Address
-- ANGELINA LARA RN, FNP
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Phone number: 541-476-6644
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Mailing Address
-- ANGELINA LARA RN, FNP
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Phone number: 541-476-6644
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