MARK PEQUIGNOT

ROSEBURG, OR
NPI1770272148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10010332)
Enumeration Date2023-05-02
Last Update Date2024-03-01
Business Address
MARK PEQUIGNOT DNP FNP
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471-1636
Phone number: 541-236-9246
Mailing Address
MARK PEQUIGNOT DNP FNP
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471-1636
Phone number: 541-236-9246
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