NICOLE FENNELL

COOS BAY, OR
NPI1639626724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA179333)
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
-- NICOLE FENNELL
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8111
Mailing Address
-- NICOLE FENNELL
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8111
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