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1447350517
ULISTA JEAN BROOKS
SALEM, OR
NPI
1447350517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD10888)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- ULISTA JEAN BROOKS MD
2600 CENTER ST NE CLINIC OREGON STATE HOSPITAL
SALEM, OR 97301
Phone number: 503-945-2800
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Mailing Address
-- ULISTA JEAN BROOKS MD
PO BOX 14900
SALEM, OR 97309-5016
Phone number: 503-945-9840
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