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1114561925
KERIANN ENSWORTH
MEDFORD, OR
NPI
1114561925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201900725LPN)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
KERIANN ENSWORTH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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Mailing Address
KERIANN ENSWORTH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Copy
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