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Individual

MARICELA ELENA BANDEL-RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1700 E 19TH ST, THE DALLES, OR 97058
(541) 296-1111
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
201801675NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
201801675NP-PP
OR

Other

Enumeration date
03/07/2018
Last updated
05/15/2018
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