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1730613837
ALEXANDRA ANN BLAINE
ROSEBURG, OR
NPI
1730613837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA182468)
Enumeration Date
2017-04-14
Last Update Date
2017-04-14
Business Address
-- ALEXANDRA ANN BLAINE
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
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Mailing Address
-- ALEXANDRA ANN BLAINE
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
Copy
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