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1891972865
MARY ANN CUSTER
TIGARD, OR
NPI
1891972865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200850006NP)
Enumeration Date
2008-01-22
Last Update Date
2012-10-28
Business Address
Mrs. MARY ANN CUSTER FNP
18040 SW LOWER BOONES FERRY RD SUITE 100
TIGARD, OR 97224-7258
Phone number: 503-216-0700
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Mailing Address
Mrs. MARY ANN CUSTER FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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