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1013646660
LYN WAYNE SHEPERD
WHITE CITY, OR
NPI
1013646660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200742540RN)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
LYN WAYNE SHEPERD
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
LYN WAYNE SHEPERD
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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