STEVEN MICHAEL PRUDENCIO

ROSEBURG, OR
NPI1811366545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  201909746np-pp)
Enumeration Date2015-09-23
Last Update Date2025-09-04
Business Address
-- STEVEN MICHAEL PRUDENCIO FNP
340 NW MEDICAL LOOP
ROSEBURG, OR 97471-1645
Phone number: 541-464-5907
Mailing Address
-- STEVEN MICHAEL PRUDENCIO FNP
PO BOX 2129
ODESSA, TX 79760-2129
Phone number: 432-640-1963
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