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1598713299
JULIANNE STACK WIMBERLY
BEND, OR
NPI
1598713299
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Former Name
JILL STACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD25382)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- JULIANNE STACK WIMBERLY MD
2500 NE NEFF RD
BEND, OR 97701-6015
Phone number: 541-382-4321
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Mailing Address
-- JULIANNE STACK WIMBERLY MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740
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