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Individual

MARGARET MARY CAICEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CDE

Contact information

Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 278-7572
Mailing address
2815 WILLIAMS RD, WALLA WALLA, WA 99362-9707
(509) 529-8019

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
090006946RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171037
OR
Enumeration date
08/25/2008
Last updated
08/25/2008
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