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1720275365
DIANE KATHLEEN CORT-WAGNER
PENDLETON, OR
NPI
1720275365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 085075504N1 FNP-PP)
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
-- DIANE KATHLEEN CORT-WAGNER RN, FNP
622 AIRPORT RD
PENDLETON, OR 97801-4598
Phone number: 541-276-0057
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Mailing Address
-- DIANE KATHLEEN CORT-WAGNER RN, FNP
622 AIRPORT RD
PENDLETON, OR 97801-4598
Phone number: 541-276-0057
Copy
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