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1629142591
PATRICIA ANN BOULLIE
ASTORIA, OR
NPI
1629142591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 096007245ZN5)
Enumeration Date
2006-11-20
Last Update Date
2023-03-07
Business Address
MS. PATRICIA ANN BOULLIE CNM
550 22ND ST
ASTORIA, OR 97103-3312
Phone number: 503-338-7595
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Mailing Address
MS. PATRICIA ANN BOULLIE CNM
35242 KEE LN
ASTORIA, OR 97103-8314
Phone number: 503-325-4264
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