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1982168415
LORETTA CHURCH
GRANTS PASS, OR
NPI
1982168415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-01-29
Last Update Date
2021-05-28
Business Address
LORETTA CHURCH PA-C
537 UNION AVE
GRANTS PASS, OR 97527-5543
Phone number: 541-507-2050
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Mailing Address
LORETTA CHURCH PA-C
537 UNION AVE
GRANTS PASS, OR 97527-5543
Phone number: 541-507-2050
Copy
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