MABEL Y DZATA

STAYTON, OR
NPI1710902952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: OR  200050056NP NMNP PP)
Enumeration Date2006-07-12
Last Update Date2013-05-09
Business Address
-- MABEL Y DZATA CNM RNP
1373 N 10TH AVE
STAYTON, OR 97383-2037
Phone number: 503-769-9522
Mailing Address
-- MABEL Y DZATA CNM RNP
1373 N 10TH AVE
STAYTON, OR 97383-2037
Phone number: 503-769-9522
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