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1861042707
MELLISA JANE LEE FREE-STOUDER
LA GRANDE, OR
NPI
1861042707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201907957NP-PP)
Enumeration Date
2019-09-12
Last Update Date
2020-03-30
Business Address
MELLISA JANE LEE FREE-STOUDER NP
STUDENT HEALTH CENTER ONE UNIVERSITY BLVD.
LA GRANDE, OR 97850
Phone number: 541-962-3524
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Mailing Address
MELLISA JANE LEE FREE-STOUDER NP
2104 1ST ST
LA GRANDE, OR 97850-1703
Phone number: 541-805-1020
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