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1124657887
SHELLY PRATHER
COOS BAY, OR
NPI
1124657887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202006753NP-PP)
Enumeration Date
2020-04-05
Last Update Date
2024-07-15
Business Address
SHELLY PRATHER FNP
1900 WOODLAND DR
COOS BAY, OR 97420-2099
Phone number: 541-267-5151
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Mailing Address
SHELLY PRATHER FNP
1900 WOODLAND DR
COOS BAY, OR 97420-2099
Phone number: 541-267-5151
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