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1730796525
EDEN FAIR
BEND, OR
NPI
1730796525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202008004NP-PP)
Enumeration Date
2020-09-25
Last Update Date
2024-02-08
Business Address
EDEN FAIR FNP-C
2200 NE NEFF RD STE 302
BEND, OR 97701-4279
Phone number: 541-706-4200
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Mailing Address
EDEN FAIR FNP-C
1805 E 19TH ST
THE DALLES, OR 97058-3365
Phone number: 541-296-2201
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