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1891794517
SARAH K WICKENHAGEN
ALOHA, OR
NPI
1891794517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200550075NP)
Enumeration Date
2005-07-14
Last Update Date
2007-07-08
Business Address
Mrs. SARAH K WICKENHAGEN FNP
1881 NW 185TH AVE STE 102
ALOHA, OR 97006-8914
Phone number: 503-439-1539
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Mailing Address
Mrs. SARAH K WICKENHAGEN FNP
1881 NW 185TH AVE STE 102
ALOHA, OR 97006-8914
Phone number: 503-439-1539
Copy
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