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Individual

DEBBIE ELAINE NIERADKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7566
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(413) 227-5005
(541) 322-7566

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OR

Other

Enumeration date
10/10/2021
Last updated
09/24/2024
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