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1770505778
SANDI WANTA
LA GRANDE, OR
NPI
1770505778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200850066)
Enumeration Date
2006-07-25
Last Update Date
2009-08-14
Business Address
Mrs. SANDI WANTA RN, BSN
506 4TH ST
LA GRANDE, OR 97850-1906
Phone number: 541-663-3138
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Mailing Address
Mrs. SANDI WANTA RN, BSN
506 4TH ST
LA GRANDE, OR 97850-1906
Phone number: 541-663-3138
Copy
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