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Individual

MR. KOREY VANCE HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MN, FNP-C, APRN

Contact information

Practice address
1705 MAIN ST APT 801, BAKER CITY, OR 97814-3468
(541) 403-1132
Mailing address
1705 MAIN ST APT 801, BAKER CITY, OR 97814-3468
(541) 403-1132

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201707560NP-PP
OR

Other

Enumeration date
09/13/2017
Last updated
07/21/2022
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