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1639384951
GENA DELL GRANBERG
CLACKAMAS, OR
NPI
1639384951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200150090NP)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- GENA DELL GRANBERG F.N.P.
9775 SE SUNNYSIDE RD SUITE 200
CLACKAMAS, OR 97015-5739
Phone number: 503-654-8417
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Mailing Address
-- GENA DELL GRANBERG F.N.P.
15914 NE 16TH CIR
VANCOUVER, WA 98684-4130
Phone number: 360-944-6868
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