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1073097242
SHIRLEY DEVEERE REYNOLDS
COOS BAY, OR
NPI
1073097242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.018215)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
Mrs. SHIRLEY DEVEERE REYNOLDS
998 INLET LOOP
COOS BAY, OR 97420-4446
Phone number: 773-996-0242
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Mailing Address
Mrs. SHIRLEY DEVEERE REYNOLDS
998 INLET LOOP
COOS BAY, OR 97420-4446
Phone number: 773-996-0242
Copy
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