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Individual

ANGELA K VALERGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
19550 AMBER MEADOW DR STE 170, BEND, OR 97702-3527
(541) 389-3671
Mailing address
19550 AMBER MEADOW DR STE 170, BEND, OR 97702-3527
(541) 389-3671

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009604
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0009604
STATE
OR
Enumeration date
02/10/2012
Last updated
08/05/2014
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