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1578921003
ELYSIA CHURCHMAN
BEND, OR
NPI
1578921003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR 175099)
Enumeration Date
2016-01-28
Last Update Date
2022-12-30
Business Address
ELYSIA CHURCHMAN
1140 SW SIMPSON AVE STE 110
BEND, OR 97702-3789
Phone number: 541-389-7741
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Mailing Address
ELYSIA CHURCHMAN
PO BOX 1517
PENDLETON, OR 97801-0410
Phone number: 877-708-1119
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