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Individual

KARLA JUNE NUSSBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
14728 SE WALLOWA WAY, HAPPY VALLEY, OR 97086-5789
(503) 267-7042
Mailing address
14728 SE WALLOWA WAY, HAPPY VALLEY, OR 97086-5789
(503) 267-7042

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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