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Angela Marie Seeds

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NPI Number Detailed Information

Provider Information:

Name: Angela Marie Seeds
Gender: F
Provider License Number If Given: PA180691

NPI Information:

NPI: 1346243524
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/24/2018

Provider Business Mailing Address:

Address: PO BOX 3290
La Grande, OR 97850
Phone Number: 5419631967
Fax Number: 5419631837

Provider Business Practice Location Address:

Address: 710 SUNSET DR STE F
La Grande, OR 97850
Phone Number: 5416633100
Fax Number: 5419755135

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any): 363AM0700X
State: OR

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