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1831858745
KELSEY VICTORIA WICKHAM
BEND, OR
NPI
1831858745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202112796NP-PP)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
KELSEY VICTORIA WICKHAM FNP
1375 NW KINGSTON AVE
BEND, OR 97703-2242
Phone number: 541-274-0240
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Mailing Address
KELSEY VICTORIA WICKHAM FNP
1385 NW FORT CLATSOP ST
BEND, OR 97703-5524
Phone number: 541-274-0240
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