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1710040076
DIANNE K KOENIG
MCMINNVILLE, OR
NPI
1710040076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00605)
Enumeration Date
2006-12-18
Last Update Date
2013-01-09
Business Address
-- DIANNE K KOENIG PA
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR 97128-8862
Phone number: 503-472-6161
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Mailing Address
-- DIANNE K KOENIG PA
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR 97128-8862
Phone number: 503-472-6161
Copy
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