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Patient Profile: WANAK, Lake

Athena ID #13829

Demographics

DOB: Dec 23, 2008
Sex: F
Status: active
Email:
Mobile: 5035073646
Home: 5035073646
Department: WEST SALEM
Primary Provider: Emma Stacey
Last Synced: Jun 17, 2026, 2:13 PM
Address: 3765 Duplex Dr SE, SALEM, OR, 97302

Vital (7)

TypeDescriptionOnset / DateStatus
VitalFeb 17, 2026
VitalFeb 17, 2026
VitalFeb 17, 2026
VitalFeb 17, 2026
VitalFeb 17, 2026
VitalFeb 17, 2026
VitalFeb 17, 2026

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File: WANAK, Lake

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