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Individual

CAMILLE DOMENICA LA ROCCA-CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
409 SW MT MAZAMA ST, MCMINNVILLE, OR 97128-5572
(503) 583-6330
Mailing address
409 SW MT MAZAMA ST, MCMINNVILLE, OR 97128-5572
(503) 583-6330

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
110322
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110322
OR
Enumeration date
01/09/2024
Last updated
01/09/2024
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