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Individual

ANGELA RENEE' DUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1832 NE OSWEGO AVE, ROSEBURG, OR 97470-3584
(541) 733-4862
Mailing address
1832 NE OSWEGO AVE, ROSEBURG, OR 97470-3584
(541) 733-4862

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130626LPN
OR

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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