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1538147053
LISA M INGOLD
SPRINGFIELD, OR
NPI
1538147053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00654)
Enumeration Date
2006-01-04
Last Update Date
2022-07-21
Business Address
LISA M INGOLD PA-C
1605 G ST
SPRINGFIELD, OR 97477-4227
Phone number: 541-747-6159
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Mailing Address
LISA M INGOLD PA-C
1605 G ST
SPRINGFIELD, OR 97477-4227
Phone number: 541-747-6159
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