Individual
KATHY DEANN GANUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 ADAMS AVE, LA GRANDE, OR 97850-5267
(541) 963-3186
(541) 963-3187
Mailing address
2802 ADAMS AVE, LA GRANDE, OR 97850-5267
(541) 963-3186
(541) 963-3187
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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