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1902569320
JULIE ANNE LEISTER
ROSEBURG, OR
NPI
1902569320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202112008NP-PP)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
JULIE ANNE LEISTER PMHNP
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number: 541-229-7038
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Mailing Address
JULIE ANNE LEISTER PMHNP
3031 NE STEPHENS ST
ROSEBURG, OR 97470-6237
Phone number: 541-229-7038
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