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Individual

MARISA ANN MOCNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002
Mailing address
10903 SE OAK ST, MILWAUKIE, OR 97222-6641
(971) 233-1002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015649
OR

Other

Enumeration date
10/01/2016
Last updated
10/01/2016
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