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1982212189
ANTOINETTE CORSON
THE DALLES, OR
NPI
1982212189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202213867NP-PP)
Enumeration Date
2020-07-14
Last Update Date
2022-09-09
Business Address
ANTOINETTE CORSON
1620 E 12TH ST
THE DALLES, OR 97058-3213
Phone number: 541-296-9151
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Mailing Address
ANTOINETTE CORSON
1620 E 12TH ST
THE DALLES, OR 97058-3213
Phone number: 541-296-9151
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