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1881335172
EDELYN MARIE MANNING PAGAN
ROSEBURG, OR
NPI
1881335172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PG210628)
Enumeration Date
2022-04-02
Last Update Date
2022-04-02
Business Address
EDELYN MARIE MANNING PAGAN MD
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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Mailing Address
EDELYN MARIE MANNING PAGAN MD
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Copy
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