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1740508480
ELISA ANN PEAVEY
ONTARIO, OR
NPI
1740508480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO161883)
Enumeration Date
2010-05-05
Last Update Date
2025-01-06
Business Address
ELISA ANN PEAVEY D.O.
840 SW 4TH AVE STE 105
ONTARIO, OR 97914-2638
Phone number: 541-881-2800
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Mailing Address
ELISA ANN PEAVEY D.O.
1441 NE 10TH AVE
PAYETTE, ID 83661-5420
Phone number: 082-642-9376
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