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1649900663
KATELYN NIELSEN
ONTARIO, OR
NPI
1649900663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-13
Last Update Date
2024-02-08
Business Address
KATELYN NIELSEN
840 SW 4TH AVE STE 105
ONTARIO, OR 97914-2638
Phone number: 418-892-6685
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Mailing Address
KATELYN NIELSEN
1441 NE 10TH AVE
PAYETTE, ID 83661-5420
Phone number: 208-642-9376
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