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1558518381
SARA LYNN BRAKEBUSH
COOS BAY, OR
NPI
1558518381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 200850111NP)
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
-- SARA LYNN BRAKEBUSH NP
1750 THOMPSON RD
COOS BAY, OR 97420-2100
Phone number: 541-266-4402
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Mailing Address
-- SARA LYNN BRAKEBUSH NP
1750 THOMPSON RD
COOS BAY, OR 97420-2100
Phone number: 541-266-4402
Copy
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