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1770525263
FARA KATRINA ETZEL
SALEM, OR
NPI
1770525263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD23500)
Enumeration Date
2006-06-11
Last Update Date
2007-07-08
Business Address
Dr. FARA KATRINA ETZEL M.D.
2395 CENTER ST NE
SALEM, OR 97301-4464
Phone number: 503-364-2181
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Mailing Address
Dr. FARA KATRINA ETZEL M.D.
2395 CENTER ST NE
SALEM, OR 97301-4464
Phone number: 503-364-2181
Copy
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