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Individual

JUDITH A. MARCELLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 588-5357
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4592

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930497LPN
OR

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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