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1760182836
MICHELLE STATON
GRANTS PASS, OR
NPI
1760182836
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Former Name
MICHELLE CATHLEEN REIF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA214854)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
MICHELLE STATON PA-C
500 SW RAMSEY AVE
GRANTS PASS, OR 97527-5554
Phone number: 989-941-2003
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Mailing Address
MICHELLE STATON PA-C
2809 SW ELMER NELSON LN
GRANTS PASS, OR 97527-6390
Phone number:
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